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Mental Health Survey
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Survey
Mental Health Survey
Mental Health Survey template with ready-made questions — customize, publish and start collecting responses in minutes.
12 fields Ready to publish
What's included
- 1How often have you felt down or anxious recently?Not at all · Several days · More than half the days · Nearly every dayRequiredDropdown
- 2How is your sleep quality?Good · Fair · PoorRequiredDropdown
- 3Do you have someone to talk to?Yes · No · Not sureRequiredDropdown
- 4Are you currently receiving support?Yes · No · Not sureRequiredDropdown
- 5Anything you'd like to share (confidential)Long text
- 6Name (optional)Short text
- 7Email (optional)Email
- 8Overall ratingRequiredRating
- 9What worked well?Long text
- 10What should we improve?RequiredLong text
- 11How likely are you to recommend us?Very likely · Likely · Neutral · Unlikely · Very unlikelyDropdown
- 12How often do you use this?Daily · Weekly · Monthly · Rarely · First timeDropdown
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