Section 1 of 5
Graduate Students Wellness Survey
This survey is designed as part of an effort to identify, understand, and tackle the challenges facing graduate students. Your answers are thus very critical to us and will be used to guide the discussion during the <follow-up> seminar (or town hall) on <insert-date>.
We are aware that some of the questions are personal and sensitive. We will keep your individual responses private and anonymous, and only speak in <seminar> about the overall trends. We will endeavour to be careful about any responses that might lead to your identification; if there are any specific issues that you think might involuntarily identify you despite our best efforts, please either let us know in the comments (or refrain from inputting them).
Further, if there are any questions that you feel do not apply to you or about which you have no opinion, you can choose to not answer, as most questions in this survey are optional. The more input you can provide though, the better! Thank you!
[This survey is part of a Graduate Student Wellness Toolkit designed by Dr. Nosayba El-Sayed at Emory University. More details about the toolkit: http://www.cs.emory.edu/~nelsay2/mhtoolkit.html]
We are aware that some of the questions are personal and sensitive. We will keep your individual responses private and anonymous, and only speak in <seminar> about the overall trends. We will endeavour to be careful about any responses that might lead to your identification; if there are any specific issues that you think might involuntarily identify you despite our best efforts, please either let us know in the comments (or refrain from inputting them).
Further, if there are any questions that you feel do not apply to you or about which you have no opinion, you can choose to not answer, as most questions in this survey are optional. The more input you can provide though, the better! Thank you!
[This survey is part of a Graduate Student Wellness Toolkit designed by Dr. Nosayba El-Sayed at Emory University. More details about the toolkit: http://www.cs.emory.edu/~nelsay2/mhtoolkit.html]
Are you an international student?
Are you an international student?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
[Optional] Would you like to share gender information?
[Optional] Would you like to share gender information?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
To understand how and whether grad school challenges vary across gender groups.
Male
Female
Transgender
Other (e.g. non-binary, non-conforming)
Prefer not to answer.
Other…
Add option
…
Answer key
(0 points)
Loading...
How many semesters (including summers) have you spent in the graduate program so far?
How many semesters (including summers) have you spent in the graduate program so far?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Please count only active enrollment time (not including leaves, internships, etc,).
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Answer key
(0 points)
Loading...
Do you have a research advisor?
Do you have a research advisor?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Yes
Not yet, but there is an informal agreement with a faculty member
No
N/A
Other…
Add option
…
Answer key
(0 points)
Loading...
Please check all completed milestones (if applicable)
Please check all completed milestones (if applicable)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Completed first research rotation
Completed second research rotation
Completed course work
Formed a qualifying-exam committee
Completed qualifying exam
Advanced to candidacy
Formed a thesis committee
Proposed thesis
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Section 2 of 5
Program Time To Completion
How many semesters in total (including summers) do you expect your program of study to take?
How many semesters in total (including summers) do you expect your program of study to take?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Total estimated time from start to finish, only counting active enrollment time.
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Answer key
(0 points)
Loading...
Will your program of study likely be extended longer than your initial plan?
Will your program of study likely be extended longer than your initial plan?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Yes
No
Maybe / Not sure yet
Other…
Add option
…
Answer key
(0 points)
Loading...
Please indicate how the following factors have increased your planned length of studies.
Please indicate how the following factors have increased your planned length of studies.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Not at all = 1
2
3
4
A lot = 5
Coursework
Finding an advisor
Quality of supervision
Research progress (e.g. publishing)
Administrative issues with supervisor/committee (e.g. faculty departures)
Teaching Commitments (TA or Instructorship)
Financial issues
Health issues (including mental health)
Family issues
Rows
1.
Coursework
2.
Finding an advisor
3.
Quality of supervision
4.
Research progress (e.g. publishing)
5.
Administrative issues with supervisor/committee (e.g. faculty departures)
6.
Teaching Commitments (TA or Instructorship)
7.
Financial issues
8.
Health issues (including mental health)
9.
Family issues
10.
Add row
Columns
Not at all = 1
2
3
4
A lot = 5
Add column
…
Answer key
(0 points)
Loading...
Please elaborate on other causes for delay not mentioned here, if any.
Please elaborate on other causes for delay not mentioned here, if any.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Section 3 of 5
Departmental Culture and Climate
Please indicate your level of agreement with the following statements.
Please indicate your level of agreement with the following statements.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
3
4
Strongly agree = 5
The department's policies are clear and easy to understand (e.g. milestones, scholarships, etc.)
I feel comfortable approaching my advisor to discuss research issues.
I feel comfortable approaching other faculty in the program to discuss research issues.
I feel comfortable approaching other graduate students to discuss personal issues (not necessarily related to school).
I feel comfortable approaching my advisor to discuss personal issues.
I feel comfortable approaching other faculty in the program to discuss personal issues.
I like the physical workspace assigned to me (building/desk/etc.)
Rows
1.
The department's policies are clear and easy to understand (e.g. milestones, scholarships, etc.)
2.
I feel comfortable approaching my advisor to discuss research issues.
3.
I feel comfortable approaching other faculty in the program to discuss research issues.
4.
I feel comfortable approaching other graduate students to discuss personal issues (not necessarily related to school).
5.
I feel comfortable approaching my advisor to discuss personal issues.
6.
I feel comfortable approaching other faculty in the program to discuss personal issues.
7.
I like the physical workspace assigned to me (building/desk/etc.)
8.
Add row
Columns
3
4
Strongly agree = 5
Add column
…
Answer key
(0 points)
Loading...
Do you have any suggestions on how the department can improve its culture and climate? What should the department focus on first?
Do you have any suggestions on how the department can improve its culture and climate? What should the department focus on first?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Section 4 of 5
Mental Health and Well-being
Please indicate your level of agreement with the following statements.
Please indicate your level of agreement with the following statements.
It is recommended that you do not spend too much time on any statement -- there are no right or wrong answers. The more transparent you are in answering, the more effective this survey will become.
Loading...
Question
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Strongly agree = 5
Column 2
I have a strong professional support system.
I have a strong personal support system.
I seek out recreational activities and hobbies that are comforting to me.
I feel isolated at school.
I get adequate amounts of sleep.
I exercise regularly.
I generally have a healthy diet system.
I turn to things like meditation (or my own spiritual practices) to alleviate stress.
I am aware of departmental resources to improve my mental health.
I am aware of university-wide resources to improve my mental health (e.g. CAPS = Counseling and Psychological Services (http://counseling.emory.edu/).
Rows
1.
I have a strong professional support system.
2.
I have a strong personal support system.
3.
I seek out recreational activities and hobbies that are comforting to me.
4.
I feel isolated at school.
5.
I get adequate amounts of sleep.
6.
I exercise regularly.
7.
I generally have a healthy diet system.
8.
I turn to things like meditation (or my own spiritual practices) to alleviate stress.
9.
I am aware of departmental resources to improve my mental health.
10.
I am aware of university-wide resources to improve my mental health (e.g. CAPS = Counseling and Psychological Services (http://counseling.emory.edu/).
11.
Add row
Columns
Strongly agree = 5
Column 2
Add column
…
Answer key
(0 points)
Loading...
In your time as a graduate student in this program, have you ever found yourself in financial difficulty?
In your time as a graduate student in this program, have you ever found yourself in financial difficulty?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
I.e. have you found yourself unable to pay bills, afford day-to-day expenses, etc,
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Do you expect that you will, during your time as a graduate student in this program, find yourself in financial difficulty?
Do you expect that you will, during your time as a graduate student in this program, find yourself in financial difficulty?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
I.e. Do you expect to find yourself unable to pay bills, afford day-to-day expenses, etc,
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Based on your experience, how would you compare the program's funding level to that of other, comparable departments (or other universities)?
Based on your experience, how would you compare the program's funding level to that of other, comparable departments (or other universities)?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Vastly inferior
Vastly superior
0
1
2
3
4
5
6
7
8
9
10
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Section 5 of 5
Graduate School Stressors
A moderate amount of stress can be good for helping us become better at what we do. Beyond a certain threshold, stress becomes counter productive and can affect both your mental and physical well-being.
Rate the following stressors based on how much you think they contribute to your stress levels, where a rating of 3 for example reflects a moderate amount that you believe you can handle.
If any question does not apply to you, just leave it unanswered.
Rate the following stressors based on how much you think they contribute to your stress levels, where a rating of 3 for example reflects a moderate amount that you believe you can handle.
If any question does not apply to you, just leave it unanswered.
Question
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Least stressful = 1
2
3
4
Most stressful = 5
Identifying good research questions/areas to work on.
Getting help when stuck on a problem in my research.
Submitting to research venues (e.g. conferences) but getting rejected.
Giving presentations/talks.
Row 5
Maintaining school-life balance.
Managing teaching responsibilities.
Worrying about job placement after graduation.
Rows
1.
Identifying good research questions/areas to work on.
2.
Getting help when stuck on a problem in my research.
3.
Submitting to research venues (e.g. conferences) but getting rejected.
4.
Giving presentations/talks.
5.
Row 5
6.
Maintaining school-life balance.
7.
Managing teaching responsibilities.
8.
Worrying about job placement after graduation.
9.
Add row
Columns
Least stressful = 1
2
3
4
Most stressful = 5
Add column
…
Answer key
(0 points)
Loading...
Please give us any other comments you might have about issues that did not come up in this survey.
Please give us any other comments you might have about issues that did not come up in this survey.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
What topics under grad school skills would you like future CS700 sessions to cover?
What topics under grad school skills would you like future CS700 sessions to cover?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
How to identify good research problems
How to write research papers
How to write a PhD thesis
How to deliver good presentations
How to network effectively with people in your field
Other…
Add option
…
Answer key
(0 points)
Loading...
Please let us know if any of your answers were particularly sensitive, and we'll do our extra-special best to ensure their secrecy.
Please let us know if any of your answers were particularly sensitive, and we'll do our extra-special best to ensure their secrecy.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
[Participation Consent] I approve of sharing my anonymized survey answers with other scholars (e.g. to investigate and study graduate student wellness).
[Participation Consent] I approve of sharing my anonymized survey answers with other scholars (e.g. to investigate and study graduate student wellness).
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Link to Sheets
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions