Optional · About 2 minutes

A quick check-in

[Draft] 8 questions about how things are going in different parts of your life. It helps us understand the difference therapy makes. Answer as many as you like.

This field is for validation purposes and should be left unchanged.

What the numbers mean

  1. Totally dissatisfied
  2. Very dissatisfied
  3. Fairly dissatisfied
  4. In the middle
  5. Fairly satisfied
  6. Very satisfied
  7. Totally satisfied
Totally dissatisfiedVery dissatisfiedFairly dissatisfiedIn the middleFairly satisfiedVery satisfiedTotally satisfied
How satisfied are you with your mental health?
How satisfied are you with your physical health?
How satisfied are you with your job situation?
How satisfied are you with your accommodation?
How satisfied are you with your leisure activities?
How satisfied are you with your relationship with your partner/family?
How satisfied are you with your friendships?
How satisfied are you with your personal safety?

By saving your answers, you agree HUMEN can keep them with your registration, to see how things are going and point you to other support that might help. We also use answers, without names, to understand the difference our service makes. Read our privacy notice.

No thanks