Looking for Bears // Emotional Wellbeing Assessment

Introduction
Demographics
Questionnaire
Feedback

Introduction

Thank you for considering participation in this research assessment. This draft assessment is based on my Neuro-Social Model of Emotional Wellbeing and is intended to provide a qualitative analysis of your emotional wellbeing. I am conducting this study to evaluate the completeness and effectiveness of the assessment design. Your participation is valuable in helping me develop and validate this assessment. This assessment is being conducted by Looking for Bears and your responses will remain confidential and anonymous.

Instructions: Please read each question carefully and provide your most honest and accurate responses. If a question does not apply to you, please select the Neutral option.

Time Estimate: The estimated time to complete this assessment is approximately 10-15 minutes. The questionnaire portion contains 100 questions. I appreciate your time and thoughtful responses.

Contact Information: If you have any questions or concerns about this assessment, please feel free to contact me. I am available to address any inquiries you may have.

Data Privacy: I am committed to protecting your privacy and ensuring the security of your responses. All data collected is anonymous and will be treated confidentially and stored securely in accordance with applicable data protection laws.

DISCLAIMER:
The survey presented here is intended to be qualitative, not quantitative, and aims to help identify different aspects of a respondent's wellbeing. It is important to note that the survey is currently being provided for research purposes and has not undergone psychometric validation, so its results should be interpreted with caution. Future administration of a published survey should involve a qualified professional who can ensure its proper use, interpret results in context, and provide necessary support or resources based on each individual's unique circumstances.

Questionnaire

Please read each statement carefully and provide your most honest and accurate responses. All statements are required.

		Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
1	I have access to safe and affordable housing.
2	I can access necessary medical care and services.
3	I have connections with individuals who share similar values and beliefs.
4	I receive recognition and appreciation for my contributions.
5	I am kind and forgiving to myself when I make mistakes or face challenges.
6	I set up and maintain boundaries that align with my identity.
7	I have a clear sense of purpose and direction in life.
8	I have clear thinking and focus.
9	I can access quality and affordable education.
10	I have positive qualities and attributes.
11	I receive love and acceptance without conditions.
12	I often experience joy through living my purpose.
13	I actively reflect on my strengths and areas for growth.
14	The surrounding environment is peaceful and conducive to concentration.
15	I am able to maintain personal hygiene and cleanliness.
16	I can easily access medical care in an emergency.
17	I regularly have opportunities to utilize my strengths.
18	I have people in my life who provide emotional and practical support.
19	I have access to enough food and water.
20	I am empowered to actively participate in decision-making
21	I have tools and strategies to effectively regulate my feelings.
22	I feel secure in my employment options.
23	I am able to share my feelings and vulnerabilities with others.
24	I feel authentic and true to myself in various aspects of life.
25	I believe in my ability to carry out tasks and overcome challenges.
26	I feel safe and secure in my community.
27	I have suitable clothing for different weather conditions.
28	I regularly engage in exercising my body.
29	I am safely able to discuss my emotions with those close to me.
30	I have opportunities for meaningful social interactions and connections.
31	I receive constructive feedback and recognition for my contributions.
32	I feel included and accepted in my social circles.
33	I have goals that give me a sense of purpose.
34	I have people around me who support and care for me.
35	I have access to natural light in my environment.
36	I have access to legal rights and protections.
37	I have specific skills that are useful.
38	I have a safe and adequate place to live.
39	I am able to communicate effectively with those around me.
40	I have sufficient energy to engage in daily activities.
41	I have opportunities to express my true self.
42	I am treated with unconditional positive regard by others.
43	I am driven by internal motivation to pursue my goals and aspirations.
44	I take ownership of my actions and choices.
45	My physical environment is accessible to me.
46	I have adequate opportunities for sleep and rest.
47	I am comfortable and accepting of myself as I am.
48	I feel empowered to take control of my life.
49	I have clarity of thought and mental agility.
50	I feel like I'm making a meaningful contribution to my community.
51	I can easily get around my community whenever I desire.
52	I receive comfort when I am having a difficult time.
53	My environment inspires and promotes a sense of wellbeing.
54	My actions are aligned with my core values.
55	I feel secure and protected from physical harm.
56	I do not experience discrimination on a regular basis.
57	I am shown grace and understanding when I make mistakes.
58	I am a priority to another person.
59	I am treated with kindness and respect by others.
60	I have the privacy I need in my living and personal spaces.
61	I can choose my own path and set goals for myself.
62	I am valued and appreciated for who I am.
63	My school or work environment is conducive to my needs.
64	I feel a sense of belonging and acceptance in my social groups.
65	I receive validation and affirmation for my authentic self.
66	I feel healthy and energetic.
67	I have access to a healthy and balanced diet and enough food.
68	I embrace challenges and obstacles with a creative mindset.
69	I am free from being bullied or insulted by others.
70	I believe I am worthy of the same love and affection I shown others.
71	My environment is clean and well-maintained.
72	I have stability in terms of income and financial resources.
73	I am actively working on personal growth and self-improvement.
74	I am attuned to the sensations and needs of my body.
75	I continually work to hone and improve my gifts.
76	I feel secure in getting my needs met.
77	I receive support to bounce back from setbacks and stay committed to my mission.
78	I feel safe in my physical environment.
79	I am committed to lifelong learning and personal development.
80	I excel and have extensive knowledge in specific areas.
81	The natural envioronment where I live is pleasing to me.
82	I have the freedom to make my own decisions.
83	I have a clear understanding of my strengths, weaknesses, and values.
84	Others talk to me before making decisions about me.
85	I believe I have a unique purpose.
86	I find joy and satisfaction when engaging in activities that align with my strengths.
87	I get enough restful sleep to rejuvenate my body and mind.
88	I celebrate my progress and achievements.
89	I feel safe and respected in my social interactions and relationships.
90	I trust the people I interact with, and they trust me.
91	I am more curious than judgmental with other people and myself.
92	I am able to make informed decisions based on my own judgment.
93	I am free from disease or injury that affects my wellbeing.
94	I am able to set and enforce personal boundaries in my relationships.
95	I am aware of why I think, behave, and feel the ways I do.
96	My actions, choices, and work are aligned with my values.
97	I feel fulfilled by the work or activities I engage in.
98	I experience physical comfort and absence of pain or discomfort.
99	My living space is comfortable and suitable for my needs.
100	I possess specific intelligences and gifts.

DISCLAIMER:
The survey presented here is intended to be qualitative, not quantitative, and aims to help identify different aspects of a respondent's wellbeing. It is important to note that the survey is currently being provided for research purposes and has not undergone psychometric validation, so its results should be interpreted with caution. Future administration of a published survey should involve a qualified professional who can ensure its proper use, interpret results in context, and provide necessary support or resources based on each individual's unique circumstances.

Feedback

Thank You!

Thank you for your time and contribution to this research endeavor. I appreciate your willingness to participate in this assessment. Your feedback is invaluable in helping me gain insights and make informed decisions. All fields in this section are optional, but I would greatly appreciate your feedback on this assessment:

Overall Experience

What are your general thoughts about the assessment? Did you find it engaging, easy to navigate, and understand? Why or why not?

Clarity of Instructions

Were the instructions provided clear and easy to follow? Did you encounter any difficulties or confusion while completing the assessment? If yes, please explain.

Relevance of Questions

Did you feel that the assessment questions were relevant to the assessment's stated objectives? Were there any questions that you found unnecessary or unrelated? Are there areas in your life that you do not feel were covered by this assessment? Which questions felt unclear or ambiguous? Please provide specific examples, if applicable.

Assessment Length

How would you rate the length of the assessment? Was it too short, too long, or just right? Did you feel any questions could be eliminated or condensed without losing important information?

Technical Issues

Did you encounter any technical problems while taking the assessment (e.g., page loading issues, error messages, formatting errors)? If yes, please describe the problem and provide details.

Suggestions for Improvement

Based on your experience with this assessment, do you have any suggestions for how it could be improved? Are there any additional features, question types, or changes you would recommend to enhance the assessment experience?

DISCLAIMER:
The survey presented here is intended to be qualitative, not quantitative, and aims to help identify different aspects of a respondent's wellbeing. It is important to note that the survey is currently being provided for research purposes and has not undergone psychometric validation, so its results should be interpreted with caution. Future administration of a published survey should involve a qualified professional who can ensure its proper use, interpret results in context, and provide necessary support or resources based on each individual's unique circumstances.

Your Result: / 100

Learn More

To learn more and dive deeper into your results, please check out my coaching and consulting services.

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DISCLAIMER:
The survey presented here is intended to be qualitative, not quantitative, and aims to help identify different aspects of a respondent's wellbeing. It is important to note that the survey is currently being provided for research purposes and has not undergone psychometric validation, so its results should be interpreted with caution. Future administration of a published survey should involve a qualified professional who can ensure its proper use, interpret results in context, and provide necessary support or resources based on each individual's unique circumstances.

Assessments // Emotional Wellbeing Assessment

Emotional Wellbeing

Introduction

Demographics

Questionnaire

Feedback

Your Result: / 100

Learn More

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