Research Data - Skillset Survey
Thank you for participating in this survey.

The information you provide in this survey will help our school improve over time.

You will have been given a random number to enter in question 1. As only you know these numbers all of the answers you provide will be anonymous.

Some of the questions in the survey may be confronting. If you need to speak to any of the staff before, during or after the survey please do not hesitate to ask. This is also completely optional. If you decide you do not want to complete the survey you don't have to.

Try to answer as honestly as possible as this will increase the accuracy of our results.

Thank you.
Please enter your unique identification number here. *
Your answer
Over the last 2 weeks, how often have you been bothered by the following problems? *
0 = Not at all sure, 1= Several days, 2 = Over half the days, 3 = Nearly every day
0
1
2
3
Feeling nervous, anxious, or on edge
Not being able to stop or control worrying
Worrying too much about different things
Trouble relaxing
Being so restless that it's hard to sit still
Becoming easily annoyed or irritable
Feeling afraid as if something awful might happen
If you checked off any problems, how difficult have these made it for you to do your work, take care of things at home, or get along with other people?
Over the last 2 weeks, how often have you been bothered by any of the following problems? *
0 = Not at all sure, 1= Several days, 2 = Over half the days, 3 = Nearly every day
0
1
2
3
Little interest or pleasure in doing things
Feeling down, depressed or hopeless
Trouble falling or staying asleep, or sleeping too much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself- or that you are a failure or you have let yourself or your family down
Trouble concentrating on things, such as reading the newspaper or watching television
Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual
Thoughts that you would be better off dead, or of hurting yourself
If you checked off any problems, how difficult have these made it for you to do your work, take care of things at home, or get along with other people?
Over the last 2 weeks, how often have you been bothered by any of the following problems? *
1 = None of the time, 2 = Rarely, 3 = Some of the time, 4 = Often, 5 = All of the time
1
2
3
4
5
I’ve been feeling optimistic about the future
I’ve been feeling useful
I’ve been feeling relaxed
I’ve been feeling interested in other people
I’ve had energy to spare
I’ve been dealing with problems well
I’ve been thinking clearly
I’ve been feeling good about myself
I’ve been feeling close to other people
I’ve been feeling confident
I’ve been able to make up my own mind about things
I’ve been feeling loved
I’ve been interested in new things
I’ve been feeling cheerful
Since coming to Skillset Senior College.. *
1 = a lot less , 2 = a bit less, 3 = the same, 4 = a bit more, 5 = much more
1
2
3
4
5
I feel my basic needs, such as the food I eat, how I sleep and keeping warm, are met.
Other people try to hurt me
I feel like hurting other people
I feel like deliberately hurting myself or trying to kill myself
am happy with how I spend my time (e.g. jobs, college
I am happy with where I live
I am happy with my health
I get on well with the people I know well (e.g. my family, the staff who support me).
I can make and keep friends
I feel accepted by other people
I feel good about myself
I feel confident
I feel I am achieving what I want to
I feel other people respect me
I’ve been feeling cheerful
I feel I respect other people
I feel like life is worthwhile
I feel I accept who I am
I feel I am being everything that I can be
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