1
How positive do you feel about your recent mental wellbeing and support needs?
RequiredCreates a consistent numeric measure that can be compared across respondents. It is required in this starting template, but you can change that in the builder.
Healthcare template
Mental wellbeing check-in
Run a concise check-in about your recent mental wellbeing and support needs.
3 minute estimate5 fully editable questionsNo account needed to preview
Full question preview
What this template asks
2
Do you have the support and resources you need?
RequiredProvides a structured answer that is straightforward to compare and segment. It is required in this starting template, but you can change that in the builder.
3
How manageable does the current situation feel?
RequiredProvides a structured answer that is straightforward to compare and segment. It is required in this starting template, but you can change that in the builder.
Very manageableMostly manageableSometimes difficultVery difficult
4
What is going well right now?
Captures context, examples, and ideas that fixed options may miss. It is optional so respondents can continue when it does not apply.
5
What needs attention next?
Captures context, examples, and ideas that fixed options may miss. It is optional so respondents can continue when it does not apply.
Sample-size considerations
Follow the study protocol and applicable ethics requirements. Clinical or sensitive health studies normally require specialist review beyond a general survey template.
Best practices
Minimise health identifiersExplain confidentiality and limitsProvide an urgent-care route outside the survey
Common mistakes
Using a survey as emergency clinical supportCollecting diagnoses without safeguardsMaking medical claims from an unrepresentative sample
Frequently asked questions
Can I edit the mental wellbeing check-in template?
Yes. Every question, answer option, required setting, section, theme, and eligible logic rule can be changed in Surveyor before you publish.
Can I preview the questionnaire before signing up?
Yes. The respondent preview is available without an account. An account is required only when you want to create and save an editable survey in a protected workspace.
Last reviewed 2 August 2026
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