Professional Documents
Culture Documents
PERSONAL INFORMATION
1. AGE
[ ] Under 18
[✓] 18 – 24
[ ] 25 – 34
[ ] 35 – 44
[ ] 45 – 54
[ ] 55 and above
2. GENDER
[ ] Male
[✓] Female
[ ] Non-Binary
[ ] Prefer not to say
[ ] Others (please specify): __________________
3. FAMILY STATUS
[ ] Married
[✓] Single
[ ] Divorced
[ ] Widowed
[ ] Separated
[ ] Prefer not to say
5. STUDENT STATUS
[✓] Full-time student
[ ] Part-time student
[ ] Not currently a student
[ ] Working full-time and studying
[ ] Working part-time and studying
[ ] Prefer not to say
6. ADDITIONAL COMMENTS (optional)
SURVEY
1. Spiritual Beliefs
[ ] Strongly Disagree
Religiosity [ ] Disagree
[ ] Neutral
[✓] Agree
[ ] Strongly Agree
To what extent do you feel your life has meaning and purpose?
[ ] Strongly Disagree
Existential
[ ] Disagree
Purpose
[ ] Neutral
[✓] Agree
[ ] Strongly Agree
[ ] Strongly Disagree
Connectedness [ ] Disagree
[ ] Neutral
[✓] Agree
[ ] Strongly Agree
2. Motivation
[ ] Strongly Disagree
Intrinsic
[ ] Disagree
Motivation
[ ] Neutral
[✓] Agree
[ ] Strongly Agree
[ ] Strongly Disagree
Extrinsic
[ ] Disagree
Motivation
[ ] Neutral
[ ] Agree
[✓] Strongly Agree
[ ] Strongly Disagree
Self-Determina
[ ] Disagree
tion
[ ] Neutral
[ ] Agree
[✓] Strongly Agree
3. Inner Demons
[ ] Never
Anxiety [ ] Rarely
[✓] Sometimes
[ ] Often
[ ] Always
[ ] Never
Depression [ ] Rarely
[✓] Sometimes
[ ] Often
[ ] Always
How effective are your coping strategies when dealing with stress?
[ ] Not Effective
Stress Coping [ ] Somewhat Effective
[✓] Moderately Effective
[ ] Very Effective
[ ] Extremely Effective
4. Academic Satisfaction
[ ] Strongly Disagree
Course
[ ] Disagree
Enjoyment
[✓] Neutral
[ ] Agree
[ ] Strongly Agree
[ ] Strongly Disagree
Perceived
[ ] Disagree
Relevance
[ ] Neutral
[✓] Agree
[ ] Strongly Agree
[ ] Very Dissatisfied
Overall
[ ] Dissatisfied
Satisfaction
[✓] Neutral
[ ] Satisfied
[ ] Very Satisfied