Descriptive Survey Form
Please complete the Descriptive Survey Form to help us understand your profile and opinions. All questions are designed for general descriptive analysis.
Full Name
*
First Name
Last Name
Age
*
Gender
*
Female
Male
Non-binary
Prefer not to say
Other
Highest level of education completed
*
Please Select
High school
Some college
Associate degree
Bachelor's degree
Master's degree
Doctorate or higher
Other
Employment status
*
Employed full-time
Employed part-time
Self-employed
Unemployed
Student
Retired
Other
How satisfied are you with your current work-life balance?
*
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 valued in my community.
1
2
3
4
5
I am optimistic about the future.
6
7
8
9
10
I have access to the resources I need.
11
12
13
14
15
Which of the following best describes your primary motivation for participating in this survey?
*
Personal interest
Professional development
Academic research
Other
Please describe a positive experience you have had in the past year.
Do you have any additional comments or suggestions?
Submit Survey
Should be Empty: