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

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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