Wellbeing Quiz Survey

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1. Which of the following describes you best?

I am currently very anxious about coronavirus

I am currently quite anxious about coronavirus

I don't feel at all anxious

I am slightly anxious but it is manageable

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2. How would you rate your health in general?

Poor

Fair

Good

Very good

Excellent

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3. Can you do everything you want to do physically?

No, my health stops me from doing everything I want to do

Yes, some of the time

Yes, most of the time

Yes, all of the time

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4. In the last three months, how many times have you visited your GP, in person or via telephone appointment?

More than 3 times

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5. In the last three months, how many times have you used another health service? I.e. nurse visit, hospital appointment, etc

More than 3

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6. How many different types of medication do you take on a daily basis?

More than 5

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7. How many days do you usually do some exercise on a normal week?

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8. Do you usually sleep well?

Yes, sometimes

Yes, mostly

Yes, always

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9. How many times in the last two weeks have you felt angry?

Most days

A lot

A bit

Not much

Not at all

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10. The Warwick-Edinburgh Mental Well-being Scale. The next questions are some statements about feelings and thoughts. Please tick the box that best describes your experience of each over the last two weeks.
How often have you been feeling optimistic about the future?

None of the time

Rarely

Some of the time

Often

All of the time

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11. How often have you been feeling useful?

None of the time

Rarely

Some of the time

Often

All of the time

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12. How often have you been feeling relaxed?

None of the time

Rarely

Some of the time

Often

All of the time

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13. How often have you been feeling interested in other people?

None of the time

Rarely

Some of the time

Often

All of the time

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14. How often have you had energy to spare?

None of the time

Rarely

Some of the time

Often

All of the time

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15. How often have you been dealing with problems well?

None of the time

Rarely

Some of the time

Often

All of the time

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16. How often have you been thinking clearly?

None of the time

Rarely

Some of the time

Often

All of the time

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17. How often have you been feeling good about yourself?

None of the time

Rarely

Some of the time

Often

All of the time

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18. How often have you been feeling close to other people?

None of the time

Rarely

Some of the time

Often

All of the time

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19. How often have you been feeling confident?

None of the time

Rarely

Some of the time

Often

All of the time

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20. How often have you been feeling able to make up your own mind about things?

None of the time

Rarely

Some of the time

Often

All of the time

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21. How often have you been feeling loved?

None of the time

Rarely

Some of the time

Often

All of the time

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22. How often have you been feeling interested in new things?

None of the time

Rarely

Some of the time

Often

All of the time

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23. How often have you been feeling cheerful?

None of the time

Rarely

Some of the time

Often

All of the time

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24. Please tick which of the following are true for you? Please tick all that apply.

I get out of the house as much as I want to

I keep in touch with friends and family

I am not lonely

There is always someone I can talk to about my day to day problems

There are many people I can trust completely

I am content with my friendships and relationships

None of the above apply to me

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* 1. Which of the following describes you best?

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* 2. How would you rate your health in general?

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* 3. Can you do everything you want to do physically?

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* 4. In the last three months, how many times have you visited your GP, in person or via telephone appointment?

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* 5. In the last three months, how many times have you used another health service? I.e. nurse visit, hospital appointment, etc

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* 6. How many different types of medication do you take on a daily basis?

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* 7. How many days do you usually do some exercise on a normal week?

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* 8. Do you usually sleep well?

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* 9. How many times in the last two weeks have you felt angry?

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* 10. The Warwick-Edinburgh Mental Well-being Scale. The next questions are some statements about feelings and thoughts. Please tick the box that best describes your experience of each over the last two weeks.How often have you been feeling optimistic about the future?

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* 11. How often have you been feeling useful?

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* 12. How often have you been feeling relaxed?

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* 13. How often have you been feeling interested in other people?

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* 14. How often have you had energy to spare?

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* 15. How often have you been dealing with problems well?

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* 16. How often have you been thinking clearly?

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* 17. How often have you been feeling good about yourself?

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* 18. How often have you been feeling close to other people?

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* 19. How often have you been feeling confident?

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* 20. How often have you been feeling able to make up your own mind about things?

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* 21. How often have you been feeling loved?

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* 22. How often have you been feeling interested in new things?

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* 23. How often have you been feeling cheerful?

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* 24. Please tick which of the following are true for you? Please tick all that apply.

1. Which of the following describes you best?

2. How would you rate your health in general?

3. Can you do everything you want to do physically?

4. In the last three months, how many times have you visited your GP, in person or via telephone appointment?

5. In the last three months, how many times have you used another health service? I.e. nurse visit, hospital appointment, etc

6. How many different types of medication do you take on a daily basis?

7. How many days do you usually do some exercise on a normal week?

8. Do you usually sleep well?

9. How many times in the last two weeks have you felt angry?

10. The Warwick-Edinburgh Mental Well-being Scale. The next questions are some statements about feelings and thoughts. Please tick the box that best describes your experience of each over the last two weeks.
How often have you been feeling optimistic about the future?

11. How often have you been feeling useful?

12. How often have you been feeling relaxed?

13. How often have you been feeling interested in other people?

14. How often have you had energy to spare?

15. How often have you been dealing with problems well?

16. How often have you been thinking clearly?

17. How often have you been feeling good about yourself?

18. How often have you been feeling close to other people?

19. How often have you been feeling confident?

20. How often have you been feeling able to make up your own mind about things?

21. How often have you been feeling loved?

22. How often have you been feeling interested in new things?

23. How often have you been feeling cheerful?

24. Please tick which of the following are true for you? Please tick all that apply.