Emotional Health
This is a short survey to get a feel for where you are at emotionally. Emotional health is becoming more and more a concern in today's society especially when facing stress, crossing cultural boundaries and experiencing change. Poor emotional health can sidetrack a team and undermine what God wants to do in and through us. It is our desire to grow in understanding so that we can serve together physically, spiritually and emotionally.
Full Name: *
How would you describe your emotional health? *
Who is responsible for your happiness? *
How are you at handling stress and change? Please Explain. *
Do you struggle with depression or anxiety? *
If Yes, please explain.
What are some ways that you typically cope with life when things go wrong? *
Have you ever experienced trauma or abuse of any kind? *
If yes, please explain: *
Have you ever seriously considered suicide? *
If Yes, please explain
Have you struggled with self harm?
If yes, please explain: *
Are you on any medications related to mental health? If yes, please list them and explain what they are for. *
To you, what does emotional health look like? *
Your answers will be kept confidential. We appreciate your honesty. Based on answers you/we may need to have some follow-up conversations. Is there anything more you would like to add? *
Submit
Never submit passwords through Google Forms.
This form was created inside of Organization. - Terms of Service - Additional Terms