Welcome to the 2 Percent Health Initial Wellbeing Survey!!!

This survey will help us determine what are the most desired content and services as 2 Percent Health grows. Your data will be used only by 2 Percent Health and not sold nor shared with others. At the end of this survey, you will be asked identification information. 

Thank you for being part of our exciting launch!!! 

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* 1. “I am not afraid to voice my opinions, even when they are in opposition to the opinions of most people.”

  Strongly agree Somewhat agree A little agree Neither agree nor disagree A little disagree Somewhat disagree Strongly disagree
Strongly agree

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* 2. “For me, life has been a continuous process of learning, changing, and growth.”

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* 3. “In general, I feel I am in charge of the situation in which I live.”
 

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* 4. . “People would describe me as a giving person, willing to share my time with others.”

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* 5. “I am not interested in activities that will expand my horizons.”

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* 6. “I enjoy making plans for the future and working to make them a reality.”

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* 7. “Most people see me as loving and affectionate.”

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* 8. “In many ways I feel disappointed about my achievements in life.”

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* 9. “I live life one day at a time and don't really think about the future.”

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* 10. .   “I tend to worry about what other people think of me.”

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* 11. “When I look at the story of my life, I am pleased with how things have turned out.”

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* 12. “I have difficulty arranging my life in a way that is satisfying to me.”

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* 13. “My decisions are not usually influenced by what everyone else is doing.”

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* 14. “I gave up trying to make big improvements or changes in my life a long time ago.”

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* 15. “The demands of everyday life often get me down.”

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* 16. “I have not experienced many warm and trusting relationships with others.”

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* 17. “I think it is important to have new experiences that challenge how you think about yourself and the world.”

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* 18. “Maintaining close relationships has been difficult and frustrating for me.”

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* 19. “My attitude about myself is probably not as positive as most people feel about themselves.”

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* 20. “I have a sense of direction and purpose in life.”

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* 21. “I judge myself by what I think is important, not by the values of what others think is important.”

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* 22. “In general, I feel confident and positive about myself.”

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* 23. “I have been able to build a living environment and a lifestyle for myself that is much to my liking.”

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* 24. “I tend to be influenced by people with strong opinions.”

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* 25. “I do not enjoy being in new situations that require me to change my old familiar ways of doing things.”

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* 26. “I do not fit very well with the people and the community around me.”

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* 27. “I know that I can trust my friends, and they know they can trust me.”

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* 28. “When I think about it, I haven’t really improved much as a person over the years.”

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* 29. “Some people wander aimlessly through life, but I am not one of them.”

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* 30. “I often feel lonely because I have few close friends with whom to share my concerns.”

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* 31. “When I compare myself to friends and acquaintances, it makes me feel good about who I am.”

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* 32. “I don’t have a good sense of what it is I’m trying to accomplish in life.”

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* 33. “I sometimes feel as if I've done all there is to do in life.”

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* 34. “I feel like many of the people I know have gotten more out of life than I have.”

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* 35. “I have confidence in my opinions, even if they are contrary to the general consensus.”

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* 36. “I am quite good at managing the many responsibilities of my daily life.”

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* 37. “I have the sense that I have developed a lot as a person over time.”

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* 38. “I enjoy personal and mutual conversations with family members and friends.”

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* 39. “My daily activities often seem trivial and unimportant to me.”

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* 40. “I like most parts of my personality.”

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* 41. “It’s difficult for me to voice my own opinions on controversial matters.”

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* 42. “I often feel overwhelmed by my responsibilities.”

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* 43. What is your first name?

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* 44. What is your last name?

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* 45. What is your gender?

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* 46. What is your age?

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* 47. Which of the following best describes your current relationship status?

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* 48. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 49. At what email address would you like to be contacted?

0 of 49 answered
 

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