Emotional Health & Wellness Survey
"Emotional health (separate from mental health) refers to well-being and the way someone views, and lives, a life of wellness."

Bee Umana (beeumana.com) is growing it's team and offerings into a larger community, UpLevel Wellness. We'd love you hear your thoughts and perspectives on emotional health and wellness. These survey results will allow us at Bee Umana to be much more well-informed as we expand. This voluntary survey will take about 5 minutes to complete.

At the end of the survey, you will be given an option to provide your email address for further discussion regarding emotional health. You will only be contacted for the purpose of interviewing, and your information will not be distributed to third-parties. Interview participants will have a chance to win $5 Starbucks digital gift cards (five winners total).

If you have any questions, please feel free to contact the research team at UpLevelWellness.UX@gmail.com. Thank you for your time!

Email address *
On a scale of 1 to 10, how important is emotional health to you? *
Not Important
Very Important
Are you currently looking into improving your emotional health? *
What do you currently do for your emotional health and wellness? *
Required
Which of the following would you like to start doing/do more often for your emotional health and wellness? *
Required
If you are currently working on your emotional health, where do you find guidance? *
Required
What programs or services have you invested in to improve your emotional health? *
Required
What programs or services are you considering to improve your emotional health? *
Required
If you are willing to participate in a 15-20 minute interview for further discussion on emotional health, please provide your email address below. As a reminder, five participants will be randomly chosen to win a $5 Starbucks gift card. Thank you for your time!
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service