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Mental Health Survey
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Healthcare

Mental Health Survey

Mental Health Survey template with ready-made questions — customize, publish and start collecting responses in minutes.

7 fields Ready to publish

What's included

  • 1
    How often have you felt down or anxious recently?
    Not at all · Several days · More than half the days · Nearly every day
    RequiredDropdown
  • 2
    How is your sleep quality?
    Good · Fair · Poor
    RequiredDropdown
  • 3
    Do you have someone to talk to?
    Yes · No · Not sure
    RequiredDropdown
  • 4
    Are you currently receiving support?
    Yes · No · Not sure
    RequiredDropdown
  • 5
    Anything you'd like to share (confidential)
    Long text
  • 6
    Name (optional)
    Short text
  • 7
    Email (optional)
    Email

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