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Self Report Questionnaire

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Marina Khan
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29 views2 pages

Self Report Questionnaire

Uploaded by

Marina Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Self-Report Questionnaire

This questionnaire is designed to gather information on your thoughts, feelings, and


behaviors. It includes both close-ended and open-ended questions. Please answer all
questions honestly. Your responses will be kept confidential.

Section 1: Close-ended Questions


1. How often do you feel stressed in your daily life?

a) Never

b) Rarely

c) Sometimes

d) Often

e) Always

2. Do you find it easy to express your emotions to others?

a) Yes

b) No

3. On a scale of 1 to 5, how satisfied are you with your current job?

a) 1 (Not satisfied)

b) 2

c) 3 (Neutral)

d) 4

e) 5 (Very satisfied)

4. How frequently do you engage in physical exercise?

a) Never

b) Once a week

c) 2-3 times a week

d) 4-5 times a week


e) Daily

Section 2: Open-ended Questions


1. What are the main factors that cause you stress in your life?

2. Can you describe a situation where you felt emotionally overwhelmed and how you dealt
with it?

3. What changes would you like to make in your personal or professional life to feel more
satisfied?

4. In your opinion, how does physical activity influence your mental health?

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