Personal Challenges Survey Form
Please complete this survey to help us understand the personal challenges you experience. Your responses are anonymous and will be used for research and support purposes.
How old are you?
*
What is your current employment status?
*
Employed full-time
Employed part-time
Unemployed
Student
Retired
Other
Which areas do you find most challenging in your life? (Select all that apply)
*
Work or career
Education
Family responsibilities
Financial management
Time management
Social relationships
Personal motivation
Other
How would you rate the overall impact of these challenges on your daily life?
*
1
2
3
4
5
Please indicate how much you agree with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel supported in dealing with my challenges.
1
2
3
4
5
I have access to resources that help me cope.
6
7
8
9
10
I am able to talk openly about my challenges.
11
12
13
14
15
Which of the following resources have you used to help with your challenges? (Select all that apply)
Friends or family
Online communities
Self-help books or articles
Workplace or school support
Professional coaching or counseling
None of the above
Other
How comfortable do you feel seeking help when facing personal challenges?
Very comfortable
Somewhat comfortable
Neutral
Somewhat uncomfortable
Very uncomfortable
What is one strategy you have found helpful in overcoming personal challenges?
What is the biggest challenge you are currently facing?
Is there anything else you would like to share about your personal challenges?
Submit Survey
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