Guilt and Well-being Survey
Help us understand how feelings of guilt relate to overall well-being. Your responses are anonymous and will be used for research and self-reflection purposes.
Please enter your full name.
First Name
Last Name
What is your age?
*
What is your gender?
*
Female
Male
Non-binary
Prefer not to say
Other
How often do you experience feelings of guilt?
*
Never
Rarely
Sometimes
Often
Very often
Please rate the following statements about guilt and well-being.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I often feel guilty about things I have done or not done.
1
2
3
4
5
Guilt affects my mood throughout the day.
6
7
8
9
10
I find it difficult to forgive myself for past actions.
11
12
13
14
15
Guilt motivates me to make positive changes.
16
17
18
19
20
I feel supported when I share my feelings of guilt with others.
21
22
23
24
25
How would you rate your overall well-being in the past month?
*
1
2
3
4
5
Which of the following best describes how you typically cope with feelings of guilt? (Select all that apply)
*
Talking to someone I trust
Engaging in self-reflection or journaling
Distracting myself with activities
Ignoring the feeling
Seeking professional help
Other
Have feelings of guilt ever impacted your physical health (e.g., sleep, appetite, energy)?
*
Yes
No
Not sure
How satisfied are you with your ability to manage feelings of guilt?
*
Not at all satisfied
1
2
3
4
Completely satisfied
5
1 is Not at all satisfied, 5 is Completely satisfied
Please share any additional thoughts or experiences about guilt and well-being that you would like us to know.
Submit Survey
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