Student Wellness Education Awareness Survey
Help us understand your wellness habits and awareness of wellness resources. Your responses are confidential and will guide future wellness initiatives.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Grade Level
*
Please Select
Freshman
Sophomore
Junior
Senior
Graduate
Other
How would you rate your overall wellness?
*
1
2
3
4
5
Please indicate how often you engage in the following wellness habits.
*
Rows
Never
Rarely
Sometimes
Often
Always
Eat a balanced diet
1
2
3
4
5
Exercise regularly
6
7
8
9
10
Get enough sleep
11
12
13
14
15
Manage stress effectively
16
17
18
19
20
Seek support when needed
21
22
23
24
25
Which of the following wellness resources are you aware of at your institution? (Select all that apply)
*
Counseling services
Fitness center or gym
Nutrition workshops
Peer support groups
Health screenings
Other
Have you participated in any wellness education programs at your institution?
*
Yes
No
What topics would you like to see covered in future wellness education programs? (Select all that apply)
Mental health and stress management
Physical fitness and exercise
Nutrition and healthy eating
Sleep hygiene
Substance abuse prevention
Healthy relationships
Other
How confident are you in your ability to maintain healthy habits?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Please share any additional comments or suggestions about wellness education or resources.
Would you like to be contacted for future wellness programs or surveys?
Yes
No
Submit Survey
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