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Mood Meter - feelings right now?
*
1.
Gender
(Required.)
Male
Female
Prefer not to say
Other (please specify)
*
2.
Age
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
*
3.
Can you rate how you feel?
(Required.)
Really bad
1 star
Bad
2 stars
Neutral
3 stars
Good
4 stars
Great
5 stars
Really great
6 stars
*
4.
Finish this sentence. Right now I feel .........
(10 words max.)
(Required.)
5.
Choose the shape you associate with how you feel right now.
Square
Triangle
Circle
Star
Swirl
Hexagon
Other (please specify)
6.
What colour do you associate with how you are feeling?
Red
orange
Blue
Purple
Pink
Red
White
Black
Brown
Grey
Turquoise
None
Other (please specify)
7.
Where do you locate the feeling you have in the body?
head
shoulder
face
neck
back
stomach
chest
legs
arms
thighs
hands
outside the body
none of the above
not sure
Other (please specify)
8.
Finish this sentence. Right now, my life is.....(max 15 words)
*
9.
Anything else you want to say?
(Required.)
10.
Select whether we are at the start or end of workshop?
We are at the start
We are at the end
*
11.
Are you happy for us to use /analyse your answers?
No personal data will be disclosed
All survey results will be stored on survey monkey's data base
(Required.)
Agree
Disagree
Current Progress,
0 of 11 answered