Comfort and Relaxation
Exit this survey
1. Default Section
*
1
. Do you suffer from any of the following (either regularly or occasionally)?
Do you suffer from any of the following (either regularly or occasionally)?
Sciatica
Chronic backache
Occasional or activity related backache
Sports-related injury
Stomach pains
IBS or trapped wind
Menstrual cramps
Poor circulation or cold feet
Fibromyalgia
Arthritis or Rheumatism
None of these
Other (please specify)
*
2
. Do you use heat to treat any of the above or similar conditions?
Do you use heat to treat any of the above or similar conditions?
Yes
No
Not Applicable
3
. Do you own any of the following:
Do you own any of the following:
Electric blanket
Hot water bottle
'Waterless' hot water bottle
Wheat bag
Hand warmers
Other (please specify)
4
. Which of the above do you use regularly?
Which of the above do you use regularly?
Electric blanket
Hot Water Bottle
'Waterless' hot water bottle
Wheat bag
Hand warmers
None
Other (please specify)
*
5
. After a hard day, what is your number one relaxing activity or thing?
After a hard day, what is your number one relaxing activity or thing?
*
6
. Please rate the importance of the choices below in making you feel better after a bad day:
Most important
Next important
Quite important
A little important
Not very important
N/A
Mental comfort / relaxation
*
Please rate the importance of the choices below in making you feel better after a bad day: Mental comfort / relaxation Most important
Mental comfort / relaxation Next important
Mental comfort / relaxation Quite important
Mental comfort / relaxation A little important
Mental comfort / relaxation Not very important
Mental comfort / relaxation N/A
Fragrance (aromatherapy, oil burners etc)
Fragrance (aromatherapy, oil burners etc) Most important
Fragrance (aromatherapy, oil burners etc) Next important
Fragrance (aromatherapy, oil burners etc) Quite important
Fragrance (aromatherapy, oil burners etc) A little important
Fragrance (aromatherapy, oil burners etc) Not very important
Fragrance (aromatherapy, oil burners etc) N/A
Music
Music Most important
Music Next important
Music Quite important
Music A little important
Music Not very important
Music N/A
Physical comfort / relaxation
Physical comfort / relaxation Most important
Physical comfort / relaxation Next important
Physical comfort / relaxation Quite important
Physical comfort / relaxation A little important
Physical comfort / relaxation Not very important
Physical comfort / relaxation N/A
Physical warmth
Physical warmth Most important
Physical warmth Next important
Physical warmth Quite important
Physical warmth A little important
Physical warmth Not very important
Physical warmth N/A
Partner/family/friends
Partner/family/friends Most important
Partner/family/friends Next important
Partner/family/friends Quite important
Partner/family/friends A little important
Partner/family/friends Not very important
Partner/family/friends N/A
Taste (favourite food/drink)
Taste (favourite food/drink) Most important
Taste (favourite food/drink) Next important
Taste (favourite food/drink) Quite important
Taste (favourite food/drink) A little important
Taste (favourite food/drink) Not very important
Taste (favourite food/drink) N/A
*
7
. What is your favourite 'comfort' item of clothing?
What is your favourite 'comfort' item of clothing?
*
8
. Which of these colours do you consider to be most relaxing?
Which of these colours do you consider to be most relaxing?
Pink
Blue
Green
Red
Black
Yellow
White
Purple
Other (please specify)
*
9
. Please rate these options in order of which is most comforting to you? (with 10 being the most comforting)
1
2
3
4
5
6
7
8
9
10
N/A
A bar of chocolate
*
Please rate these options in order of which is most comforting to you? (with 10 being the most comforting) A bar of chocolate 1
A bar of chocolate 2
A bar of chocolate 3
A bar of chocolate 4
A bar of chocolate 5
A bar of chocolate 6
A bar of chocolate 7
A bar of chocolate 8
A bar of chocolate 9
A bar of chocolate 10
A bar of chocolate N/A
A bottle of wine
A bottle of wine 1
A bottle of wine 2
A bottle of wine 3
A bottle of wine 4
A bottle of wine 5
A bottle of wine 6
A bottle of wine 7
A bottle of wine 8
A bottle of wine 9
A bottle of wine 10
A bottle of wine N/A
A cuddle with your partner/child/pet/teddy bear (or all of these!)
A cuddle with your partner/child/pet/teddy bear (or all of these!) 1
A cuddle with your partner/child/pet/teddy bear (or all of these!) 2
A cuddle with your partner/child/pet/teddy bear (or all of these!) 3
A cuddle with your partner/child/pet/teddy bear (or all of these!) 4
A cuddle with your partner/child/pet/teddy bear (or all of these!) 5
A cuddle with your partner/child/pet/teddy bear (or all of these!) 6
A cuddle with your partner/child/pet/teddy bear (or all of these!) 7
A cuddle with your partner/child/pet/teddy bear (or all of these!) 8
A cuddle with your partner/child/pet/teddy bear (or all of these!) 9
A cuddle with your partner/child/pet/teddy bear (or all of these!) 10
A cuddle with your partner/child/pet/teddy bear (or all of these!) N/A
A good movie
A good movie 1
A good movie 2
A good movie 3
A good movie 4
A good movie 5
A good movie 6
A good movie 7
A good movie 8
A good movie 9
A good movie 10
A good movie N/A
A long hot bath
A long hot bath 1
A long hot bath 2
A long hot bath 3
A long hot bath 4
A long hot bath 5
A long hot bath 6
A long hot bath 7
A long hot bath 8
A long hot bath 9
A long hot bath 10
A long hot bath N/A
A long walk
A long walk 1
A long walk 2
A long walk 3
A long walk 4
A long walk 5
A long walk 6
A long walk 7
A long walk 8
A long walk 9
A long walk 10
A long walk N/A
A massage
A massage 1
A massage 2
A massage 3
A massage 4
A massage 5
A massage 6
A massage 7
A massage 8
A massage 9
A massage 10
A massage N/A
Meditation
Meditation 1
Meditation 2
Meditation 3
Meditation 4
Meditation 5
Meditation 6
Meditation 7
Meditation 8
Meditation 9
Meditation 10
Meditation N/A
Reading a book
Reading a book 1
Reading a book 2
Reading a book 3
Reading a book 4
Reading a book 5
Reading a book 6
Reading a book 7
Reading a book 8
Reading a book 9
Reading a book 10
Reading a book N/A
Wrapping up in a duvet
Wrapping up in a duvet 1
Wrapping up in a duvet 2
Wrapping up in a duvet 3
Wrapping up in a duvet 4
Wrapping up in a duvet 5
Wrapping up in a duvet 6
Wrapping up in a duvet 7
Wrapping up in a duvet 8
Wrapping up in a duvet 9
Wrapping up in a duvet 10
Wrapping up in a duvet N/A
10
. What is the best non-medical pain reliever for you? (a method of reducing or managing pain that does not involve traditional medication)
What is the best non-medical pain reliever for you? (a method of reducing or managing pain that does not involve traditional medication)
Powered by
SurveyMonkey
Create your own
free online survey
now!
Javascript is required for this site to function, please enable.