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Build Your Bag for Well-being™️

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First, what do we mean by well-being?

 

For answering the following questions, think about well-being as:

 Having a positive outlook on life and feelings of positivity when approaching various situations and activities.

Well-being doesn't mean you're always happy or unaffected by your experiences, it simply means you're confident in your abilities to handle things.

Question 2 of 25

How important is your well-being to you?

A

Not important at all

B

Low importance

C

Slightly important

D

Neutral

E

Moderately important

F

Very important

G

Extremely important

Question 3 of 25

What is your biggest life struggle right now that is impacting your well-being?

Question 4 of 25

How is this life struggle impacting your well-being?

Question 5 of 25

What else is impacting your well-being? (Enter "nothing" if you've covered it already.)

Question 6 of 25

What things make it hard for you to attend to your well-being?

Question 7 of 25

What are your goals for well-being in the next 30-90 days?

Question 8 of 25

The following is a list of some activities that can positively affect your well-being. Which of these do you do now?

(Select all that apply)
A

Exercise regularly

B

Socialize with friends or family often

C

Participate in community activities (e.g., religious, spiritual, sports, hobbies, special interest groups, volunteering)

D

Meditate

E

Walking, hiking, or spending time in nature in other ways

F

Engaging in performing arts (singing, dancing, acting, improvisation, etc.)

G

Doing creative arts (painting, drawing, crafting, etc.)

H

Journaling or other written forms of expression

I

Practicing breathing techniques

J

Practicing mindful movement (e.g., yoga, tai chi, chi gong)

K

Other

L

None

Question 9 of 25

Taking into account ALL of the activities you indicated, estimate how much time you currently spend in total on these activities (e.g., hours per week)?

Question 10 of 25

Taking into account ALL of the activities you indicated, estimate how much money you currently spend in total on these activities (e.g., dollars per month)?

Question 11 of 25

Which of the following activities would you like to add to what you're doing now or do more of?

(Select all that apply)
A

Exercising

B

Socializing with friends or family

C

Participating in community activities (e.g., religious, spiritual, sports, hobbies, special interest groups, volunteering)

D

Meditating

E

Walking, hiking or spending time in nature in other ways

F

Engaging in performing arts (singing, dancing, acting, improvisation, etc.)

G

Doing creative arts (painting, drawing, crafting, etc.)

H

Journaling or other written forms of expression

I

Practicing breathing techniques

J

Practicing mindful movement (e.g., yoga, tai chi, chi gong)

K

Other

L

None

Question 12 of 25

What has kept you from doing the activities you want to add or doing more of the activities you are already doing? (e.g., time, cost, availability, convenience, priority)

 

Also please indicate which is the biggest barrier.

Question 13 of 25

What formats would you consider for taking well-being workshops or classes?

(Select all that apply)
A

In-person, large group

B

In-person, small group

C

In-person, private or semi-private

D

Virtual, large group

E

Virtual, small group

F

Virtual, private or semi-private

G

Online, pre-recorded

Question 14 of 25

In your own words, how would you describe Brave Balancing Being™️ to a friend?

Question 15 of 25

For which of these areas are you interested in getting help?

(Select all that apply)
A

My physical well-being

B

My mental well-being

C

My partner's physical well-being

D

My partner's mental well-being

E

My child's physical well-being

F

My child's mental well-being

G

Other

H

None

Question 16 of 25

Which of these topics would you like to learn more about?

(Select all that apply)
A

Healthy coping skills & strategies

B

Self-care ideas

C

Tools to support your mental health

D

Emotional awareness

E

Emotional management & regulation

F

Healthy communication skills

G

Mindfulness

H

Understanding & experiencing awe

I

Benefits of play

J

Other

K

None

Question 17 of 25

Where do you or would you get information on well-being or well-being workshops and classes?

(Select all that apply)
A

Google

B

YouTube

C

Pinterest

D

Other search engines

E

Facebook

F

Instagram

G

TikTok

H

X (previously Twitter)

I

Clubhouse

J

Other social media

K

Friends

L

Family

M

Medical doctor

N

Therapist or mental health provider

O

Natural health provider

P

Religious or spiritual leader

Q

Community center, religious center, library, etc.

R

Other

Question 18 of 25

Where did you first find out about Brave Balancing Being™️?

A

NAMI Annual Conference

B

Friend

C

Family Member

D

Medical doctor

E

Therapist or mental health provider

F

Online

G

Other

H

Don't remember

Question 19 of 25

What town/city and county do you live in?

Question 20 of 25

Which of these apply to you?

(Select all that apply)
A

Adult, no children

B

Parent with children under the age of 18

C

Parent with children aged 18-24

D

Parent with independent adult children

E

Parent with dependent adult children

F

Medical doctor

G

Therapist or mental health provider

H

Natural health provider

I

Individual with mental health challenges or diagnosis (non-SMI)

J

Individual with mental health diagnosis (SMI)

K

Family member of loved one with mental health diagnosis (non-SMI)

L

Family member of loved one with mental health diagnosis (SMI)

Question 21 of 25

How do you identify?

A

Female

B

Male

C

Non-binary, gender neutral, genderqueer, gender fluid, etc.

D

Prefer not to answer

Question 22 of 25

What persuaded you to fill out this survey?

Question 23 of 25

Would you be willing to discuss your answers with us?

A

Yes

B

No

Question 24 of 25

Please provide any other input you'd like to share with us. (Or enter "none".)

Thank you!!

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