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Wellness Survey

Physical Wellness - What most causes you to feel stressed out?

Health issues

Lack of sleep/rest

Overworking yourself

Problems in lifestyle

Other

Please Specify:

Physical Wellness - What helps you feel better when you feel physically stressed out?

Taking a warm shower or bath

Breathing exercises

Lying down

Going outdoors

Taking a nap

Stretching/exercising

Reading

Other

Please Specify:

Emotional Wellness - When was the last time you experienced the most emotional distress, and what caused it?

Emotional Wellness - What most causes you to feel emotionally unwell?

Going through big life changes

Friends or family issues

School

Feeling overwhelmed with responsibilities

Experiencing hate, abuse, or discrimination

Health issues

Other

Please Specify:

Emotional Wellness - Which helps you emotionally relax the most?

Talking to a trusted adult, friend, or family member

Exercising or going for a walk outside

Engaging in a hobby

Reading

Self-care

Writing in a journal

Spending time in nature

Breathing exercises

Spending time with family or friends

Other

Please Specify:

Social Wellness - What type of relationship issue between you and your friends or family causes you to feel a lot of stress?

Lack of trust (from you or from others)

Past experience/trauma

Fear of being judged

Lack of understanding or compromise

Lack of communication when there is an issue between you and the other person

Other

Please Specify:

Social Wellness - What do you think is the best way to stop your relationships or friendships with others from causing you unnecessary stress?

Spiritual Wellness - Do you believe that having a religious or spiritual belief helps you with stress management?

Yes

Spiritual Wellness - Do you ever find yourself turning to religious or spiritual beliefs to help yourself cope in times of distress? What do you do specifically and how does it help you?

What do you think is the best way to manage stress in your life?

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