Community: Health and Wellness Survey: Social, Emotional, Physical and Mind
Read each statement. Choose the response that best corresponds to your Social, Emotional, Physical and Mental Well-Being
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Email *
First and Last Name *
Student/s First and Last Name (If you have multiple students at FHS please list them all and their grade levels) *
Social: As a member of the community, I feel supported by my site administrator *
Required
Social: I feel connected to the FHS community *
Required
Social: As a member of the FHS community, I feel as though my voice is valued and appreciated. *
Required
Emotional: I know two or more self-care activities that are helpful to me *
Required
Emotional: I set aside time during my day for self-care *
Required
Emotional: I feel like I have enough time during my day to rejuvenate *
Physical: I feel as though I am getting enough sleep *
Required
Physical: I make time in my day for physical activities such as running, walking, stretching, yoga...etc *
Required
Physical: I slow down and ask for help when I feel tired or ill *
Required
Physical: I have a healthy balance between work and home life *
Required
Mind: I find fulfillment in my daily work each day *
Required
Mind: I start each day with a positive mindset *
Required
Mind: I take time to meditate or participate in other mindfulness practices throughout the day *
Required
Rate your level of  stress. *
Low
High
If you would like a member of the FHS  team to contact you regarding any of your responses to this survey, please provide your contact information and the best time to reach you.
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