Funny Emotional Check-In Survey Form
Take a lighthearted moment to check in with your feelings—let us know how your day is going in a fun and casual way!
What's your name or nickname?
*
First Name
Last Name
How would you rate your overall mood right now?
*
1
2
3
4
5
Which emotion describes you best at the moment?
*
Joyful
Silly
Confused
Mellow
Dramatic
Sleepy
Other
How intense is that emotion?
*
Not at all
1
2
3
4
5
6
Extremely
7
1 is Not at all, 7 is Extremely
Which of these best describes how your day feels?
*
Like a sitcom episode
A rollercoaster with snacks
Stuck in a slow-motion montage
Like I pressed snooze on life
A surprise plot twist
Other
How would you rate your energy level right now?
*
1
2
3
4
5
How would you rate your stress level right now?
*
Chill
1
2
3
4
5
6
Maxed out
7
1 is Chill, 7 is Maxed out
What's helping you the most today?
*
Caffeine
Music
Daydreaming
Memes
Chatting with friends
Other
What's bothering you the most today?
*
Endless notifications
A mysterious missing sock
Zoom fatigue
Running out of snacks
Unfinished to-do list
Other
Add a brief note for context (optional)
Submit Check-In
Should be Empty: