Emotional Wellness Assessment

For the following questions regarding community, assume community is defined as the people you work closest to or whom are the most supportive of your growth in the organization.

A sense of community with my co-workers is highly important to me and impacts me daily.

Strongly Disagree

Disagree

Agree

Strongly Agree

I get many of my needs met by being part of this community.

Strongly Disagree

Disagree

Agree

Strongly Agree

Community Members and I share the same values.

Strongly Disagree

Disagree

Agree

Strongly Agree

I feel adequately valued by this community.

Strongly Disagree

Disagree

Agree

Strongly Agree

I can trust people in this community.

Strongly Disagree

Disagree

Agree

Strongly Agree

Fitting into this community is important to me.

Strongly Disagree

Disagree

Agree

Strongly Agree

I have influence over community decision-making.

Strongly Disagree

Disagree

Agree

Strongly Agree

This community has supportive leadership.

Strongly Disagree

Disagree

Agree

Strongly Agree

I feel community members care about me.

Strongly Disagree

Disagree

Agree

Strongly Agree

Overall, I am satisfied with my current employer.

Strongly Disagree

Disagree

Agree

Strongly Agree

I know what is expected of me at work.

Strongly Disagree

Disagree

Agree

Strongly Agree

I have received recognition or praise for doing good work in the last...

5 days

1 month

3 months

Never

My supervisor, or some other leader, seems to care about me as a person

Strongly Disagree

Disagree

Agree

Strongly Agree

Someone at work has talked to me about my professional development in the last...

1 month

3 months

6 months

1 year

The mission or purpose of my company makes me feel my job is important.

Strongly Disagree

Disagree

Agree

Strongly Agree

At work, my opinions are acknowledged.

Strongly Disagree

Disagree

Agree

Strongly Agree

At work, I have a high level of influence over my work stream.

Strongly Disagree

Disagree

Agree

Strongly Agree

My supervisor holds me accountable for work completed.

Strongly Disagree

Disagree

Agree

Strongly Agree

I am able to bounce back quickly when faced with adversity.

Strongly Disagree

Disagree

Agree

Strongly Agree

I influence where I can rather than worry about what I can't influence.

Strongly Disagree

Disagree

Agree

Strongly Agree

I take on challenges at work with confidence.

Strongly Disagree

Disagree

Agree

Strongly Agree

I don't avoid conflict.

Strongly Disagree

Disagree

Agree

Strongly Agree

I am not overly affected by others negative emotions.

Strongly Disagree

Disagree

Agree

Strongly Agree

Thinking about the future gives me anxiety.

Strongly Disagree

Disagree

Agree

Strongly Agree

I am able to stop myself from ruminating over past events.

Strongly Disagree

Disagree

Agree

Strongly Agree

I am able to forgive others without holding a grudge.

Strongly Disagree

Disagree

Agree

Strongly Agree

Self-awareness is one of my strengths.

Strongly Disagree

Disagree

Agree

Strongly Agree

I take time for myself daily.

Strongly Disagree

Disagree

Agree

Strongly Agree

I spend time on hobbies I enjoy.

Strongly Disagree

Disagree

Agree

Strongly Agree

I attend to my health and hygiene needs regularly.

Strongly Disagree

Disagree

Agree

Strongly Agree

I take vacation days off work without feeling guilty.

Strongly Disagree

Disagree

Agree

Strongly Agree

I have felt emotionally overwhelmed at work in the past...

5 days

1 month

3 months

Never

My emotions are easily influenced by my manager's behavior.

Strongly Disagree

Disagree

Agree

Strongly Agree

When I feel stressed, I am able to express it to others who can help me.

Strongly Disagree

Disagree

Agree

Strongly Agree

When I am angry, I feel out of control.

Strongly Disagree

Disagree

Agree

Strongly Agree

I am able to identify my emotions.

Strongly Disagree

Disagree

Agree

Strongly Agree

I make friends easily at work.

Strongly Disagree

Disagree

Agree

Strongly Agree

I am able to be myself with co-workers without worry of being judged.

Strongly Disagree

Disagree

Agree

Strongly Agree

When someone does something to me I don't like, I assume they meant well.

Strongly Disagree

Disagree

Agree

Strongly Agree

During times of conflict, I am able to maintain my boundaries.

Strongly Disagree

Disagree

Agree

Strongly Agree

When a coworker shares something with me in confidence, I feel it is a burden.

Strongly Disagree

Disagree

Agree

Strongly Agree

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