Based on the World Health Organization Well-being Index

If you are a staff member, administrator, or volunteer leader, please consider helping the Riviera Care Center track well-being experiences among local organizations (i.e., businesses, schools, houses of worship, nonprofits, grassroots groups) across the disaster response trajectory by completing this brief survey. Around the first week of every marker month (1m, 3m, 6m, 9m . . .) we will invite you to complete one survey. This survey is an aid. It is not diagnostic. For some, participation may change your emotional state. If this occurs, we encourage you to reach out to Community Wellness Team members (readysbc.org/health-safety/community-wellness-team/) or other mental, emotional, or spiritual health practitioner whom you trust. At any point, your involvement is completely voluntary. You may choose not to answer any question and are free to not complete the survey. Thank you!

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* 1. Over the last two weeks, I have felt cheerful and in good spirits.

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* 2. Over the last two weeks, I have felt calm and relaxed.

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* 3. Over the last two weeks, I have felt active and vigorous.

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* 4. Over the last two weeks, I woke up feeling fresh and rested.

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* 5. Over the last two weeks, my daily life has been filled with things that interest me

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* 6. Today's date is:

Date

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* 7. The name of the organization I serve is:

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* 8. My role is:

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* 9. My gender is:

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* 10. My age is:

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