Copy responder link
Copy
Published
Section 1 of 1
Year 4-6 Well-Being Survey
Please answer all questions in this survey.
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
EMOTIONAL WELL-BEING
1. How often do you feel happy and excited to come to school?
Question Type
Loading image…
Almost always
Sometimes
Rarely
Never
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
2. How often do you feel stressed, anxious, or overwhelmed at school?
Question Type
Loading image…
Almost always
Sometimes
Rarely
Never
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
3. When you have a problem or feel upset, do you know strategies to help yourself calm down or feel better?
Question Type
Loading image…
Yes always
Sometimes
No, not really
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
SCHOOL ENVIRONMENT & SAFETY
4. I feel I belong and am accepted at this school
Question Type
Loading image…
Strongly agree
Agree
Disagree
Strongly disagree
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
5. Other students at school treat me with kindness and respect
Question Type
Loading image…
Almost always
Sometimes
Rarely
Never
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
6. Is there at least one adult at school you feel comfortable going to if you need help?
Question Type
Loading image…
Yes
Unsure
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
LEARNING & WORKLOAD
7. Do you feel confident asking for help from your teacher when you don't understand something?
Question Type
Loading image…
Almost always
Sometimes
Rarely
Never
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
8. How manageable is your schoolwork and homework?
Question Type
Loading image…
Just right
A bit hard and there's too much
Way too hard and there's way too much
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
HEALTHY HABITS
9. How often do you get a good night's sleep before a school day?
Question Type
Loading image…
Almost always
Sometimes
Rarely
Never
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
10. How often do you have enough energy to focus on your schoolwork?
Question Type
Loading image…
Almost always
Sometimes
Rarely
Never
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
What is the one thing that makes you feel happy or safe at school?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What is the one thing that teachers or staff could do to help you feel better at school?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Insights
Total points distribution
Loading...
Loading responses…
Copy chart
No responses yet for this question.
EMOTIONAL WELL-BEING
1. How often do you feel happy and excited to come to school?
Copy chart
No responses yet for this question.
2. How often do you feel stressed, anxious, or overwhelmed at school?
Copy chart
No responses yet for this question.
3. When you have a problem or feel upset, do you know strategies to help yourself calm down or feel better?
Copy chart
No responses yet for this question.
SCHOOL ENVIRONMENT & SAFETY
4. I feel I belong and am accepted at this school
Copy chart
No responses yet for this question.
5. Other students at school treat me with kindness and respect
Copy chart
No responses yet for this question.
6. Is there at least one adult at school you feel comfortable going to if you need help?
Copy chart
No responses yet for this question.
LEARNING & WORKLOAD
7. Do you feel confident asking for help from your teacher when you don't understand something?
Copy chart
No responses yet for this question.
8. How manageable is your schoolwork and homework?
Copy chart
No responses yet for this question.
HEALTHY HABITS
9. How often do you get a good night's sleep before a school day?
Copy chart
No responses yet for this question.
10. How often do you have enough energy to focus on your schoolwork?
Copy chart
No responses yet for this question.
What is the one thing that makes you feel happy or safe at school?
Copy chart
No responses yet for this question.
What is the one thing that teachers or staff could do to help you feel better at school?
Copy chart
No responses yet for this question.
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
.