Health and Wellness Habits Survey

Health and Wellness Habits Survey — Form Fields

This surveys template includes 6 fields. Explore personal health and wellness habits including sleep, exercise, nutrition, and stress management. Free to customize and use on ZenBuild.

• On average, how many hours of sleep do you get per night? (multiple choice, required) — options: Less than 5 hours, 5–6 hours, 7–8 hours, More than 8 hours
• How often do you engage in physical activity? (multiple choice, required) — options: Daily, 3–5 times per week, 1–2 times per week, Rarely or never
• How would you rate your overall mental wellbeing? (rating, required)
• Which wellness practices do you follow regularly? (checkboxes, optional) — options: Meditation or mindfulness, Journaling, Meal prepping / healthy eating, Staying hydrated, Regular health check-ups, Limiting screen time
• How well do you manage stress in your daily life? (multiple choice, required) — options: Very well, Reasonably well, With difficulty, Poorly
• What is your biggest challenge when it comes to maintaining a healthy lifestyle? (long text, optional)