This survey was developed to help you assess the impact of real life issues - like trauma, human needs, social relationships and community responses - on your personal well-being. No matter what difficulties you are having, there is a good chance that factors like these are affecting you in some way. Trauma, human needs and how those around us respond are closely related to both mental and behavioral health. Nobody feels or does well when their human needs are at risk, ignored or actually violated. Nobody feels or does well when those around them disregard, dismiss or actually blame them for the important concerns they are trying to raise.
That is the essence of the personal and social trauma that causes or worsens the mental and behavioral health challenges that so many of us face in modern society. All too often, however, the systems we turn to fail to connect the dots. If those we turn to for help don't make these connections, we may not either. Even worse, we may abandon the truth of our experience and our own knowing.
In this survey, we try to change that. We ask about many different kinds of experiences that can profoundly affect our sense of well-being. We also ask about many different areas of well-being - including mental, physical, social, educational, vocational and spiritual.
We are very interested in your responses. We are trying to understand the connection between real life issues and human well-being. We are also trying to raise awareness at state, national and international levels about these issues. Your honest responses can help us do that.
However, you have no obligation to submit this survey. You can just use it for your own awareness, if that is what feels right to you. (To print a copy for personal use, press the 'CTRL' and 'p' keys on your computer and follow the instructions for printing.) If you do choose to submit this survey, we will not disclose any identifying information you write out unless you give us express permission (see question #14).