01
Life Satisfaction & Personal Growth
✓
Imagine a ladder with steps numbered 0 at the bottom to 10 at the top. The top represents the best possible life for you, the bottom the worst. On which step do you feel you stand at this time?
5
02
Life Satisfaction & Personal Growth
✓
I feel a sense of purpose in my daily life.
0 · Never
4 · Always
03
Life Satisfaction & Personal Growth
✓
I feel stuck or unable to grow in the ways I'd like.
0 · Never
4 · Always
04
Social & Family Wellbeing
✓
How often do you feel that you lack companionship?
05
Social & Family Wellbeing
✓
How often do you feel left out?
06
Social & Family Wellbeing
✓
How often do you feel isolated from others?
07
Social & Family Wellbeing
✓
I feel supported by my family and friends.
0 · Never
4 · Always
I could handle a major unexpected expense
I am securing my financial future
Because of my money situation, I feel like I will never have the things I want in life
I can enjoy life because of the way I'm managing my money
I am just getting by financially
I am concerned that the money I have or will save won't last
Giving a gift for a wedding, birthday or other occasion would put a strain on my finances for the month
I have money left over at the end of the month
I am behind with my finances
My finances control my life
Over the last two weeks, I have felt cheerful and in good spirits
Over the last two weeks, I have felt calm and relaxed
Over the last two weeks, I have felt active and vigorous
Over the last two weeks, I woke up feeling fresh and rested
Over the last two weeks, my daily life has been filled with things that interest me
Over the last 2 weeks, how often have you been bothered by: little interest or pleasure in doing things
Over the last 2 weeks, how often have you been bothered by: feeling down, depressed, or hopeless
Over the last 2 weeks, how often have you been bothered by: trouble falling or staying asleep, or sleeping too much
Over the last 2 weeks, how often have you been bothered by: feeling tired or having little energy
Over the last 2 weeks, how often have you been bothered by: poor appetite or overeating
Over the last 2 weeks, how often have you been bothered by: feeling bad about yourself — or that you are a failure or have let yourself or your family down
Over the last 2 weeks, how often have you been bothered by: trouble concentrating on things, such as reading the newspaper or watching television
Over the last 2 weeks, how often have you been bothered by: moving or speaking so slowly that other people could have noticed, or the opposite — being so fidgety or restless that you have been moving around a lot more than usual
I feel overwhelmed by my thoughts frequently.
0 · Never
4 · Always
32
Work / Study Performance
✓
How often do you feel tired?
33
Work / Study Performance
✓
How often are you physically exhausted?
34
Work / Study Performance
✓
How often are you emotionally exhausted?
35
Work / Study Performance
✓
How often do you think: "I can't take it anymore"?
36
Work / Study Performance
✓
How often do you feel worn out?
37
Work / Study Performance
✓
How often do you feel weak and susceptible to illness?
38
Work / Study Performance
✓
Do you feel worn out at the end of the working day?
39
Work / Study Performance
✓
Are you exhausted in the morning at the thought of another day at work?
40
Work / Study Performance
✓
Do you feel that every working hour is tiring for you?
41
Work / Study Performance
✓
Do you have enough energy for family and friends during leisure time?
42
Work / Study Performance
✓
Is your work emotionally exhausting?
43
Work / Study Performance
✓
Does your work frustrate you?
44
Work / Study Performance
✓
Do you feel burnt out because of your work?
45
Work / Study Performance
✓
I struggle to concentrate on tasks.
0 · Never
4 · Always
46
Work / Study Performance
✓
I feel focused and productive during work or study hours.
0 · Never
4 · Always
Over the last 2 weeks, how often have you been bothered by the following problem: feeling nervous, anxious, or on edge
Over the last 2 weeks, how often have you been bothered by the following problem: not being able to stop or control worrying
Over the last 2 weeks, how often have you been bothered by the following problem: worrying too much about different things
Over the last 2 weeks, how often have you been bothered by the following problem: trouble relaxing
Over the last 2 weeks, how often have you been bothered by the following problem: being so restless that it is hard to sit still
Over the last 2 weeks, how often have you been bothered by the following problem: becoming easily annoyed or irritable
Over the last 2 weeks, how often have you been bothered by the following problem: feeling afraid as if something awful might happen
I can manage stress without it taking over my day.
0 · Never
4 · Always
I experience frequent body discomfort or pain.
0 · Never
4 · Always
I feel physically energetic most days.
0 · Never
4 · Always
My nutrition supports my energy levels.
0 · Never
4 · Always
I eat balanced meals regularly.
0 · Never
4 · Always
I spend too much time on screens or sitting.
0 · Never
4 · Always
I can balance work, rest, and personal time.
0 · Never
4 · Always
I wake up feeling refreshed.
0 · Never
4 · Always
I feel satisfied with my physical activity level.
0 · Never
4 · Always
I exercise or stay active on most days.
0 · Never
4 · Always