Sample Sukhi Questionnaire

Email:

Employer (option):

What age group do you belong to?

Which Organizational Area does your role fall under?

Is English your primary language?

How do you describe your race/ethnicity? (check all that apply)

How do you describe your gender identity? (check only one)

I feel valued by this community.

Fitting into this community is important to me.

Overall, I am satisfied with my current role as an employee/student.

My supervisor/professors, or some other leader/faculty, seem to care about me as a person

The mission or purpose of my work/study makes me feel my role is important.

I am able to bounce back quickly when faced with adversity.

I don't avoid conflict.

I influence where I can rather than worry about what I can't influence.

Thinking about the future gives me anxiety.

I am able to stop myself from ruminating over past events.

I am able to forgive others without holding a grudge.

I take time for myself daily.

I attend to my health and hygiene needs regularly.

I take vacation days off work without feeling guilty.

When I feel stressed, I am able to express it to others who can help me.

I am able to identify my emotions.

My emotions are easily influenced by my manager's behavior.

I am able to be myself with my peers without worry of being judged.

When a peer shares something with me in confidence, I feel it is a burden.