Mental Health Survey
A need analysis survey initiated by Enactus SRM in collaboration with Curious Insights and other experts. The survey is anonymous, no contact information is acquired.
For collaboration or queries: enactus.srmist@gmail.com
Sign in to Google to save your progress. Learn more
Age *
Profession *
Are you..
Clear selection
How many people (adults and children) currently live in your household? (including yourself) *
Enter a number only.
How has COVID19 impacted your mental health? *
In which of the following additional ways, if any, has COVID-19 impacted your life? (select all that apply) *
Required
What has been most stressful, if anything, for you during COVID19 overall? (choose three)
During lockdown, with whom are you having the most interaction? *
There are many coping strategies that students have used to support their mental wellness during COVID-19. Please indicate which of the following you have benefitted from during COVID-19.(select all that apply) *
Required
On a scale of 1-10, how hopeful are you about achieving your school-related goals and your future job prospects (1=not at all hopeful, 10=extremely hopeful)?
Not at all hopefull
Extremely hopeful
Clear selection
If there is a new Mental Health service for students, what features/functionalities would you like it to contain? *
If there is a new Mental Health podcast for students, what information would you like to be broadcasted? *
Anything else you would like to share with us regarding mental health? (collaborators are invited)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report