Sample Questions - The PERMAH Wellbeing Survey

I felt deeply engaged and interested in life

never

half the time

always

My family was positive

never

half the time

always

I set and achieved clear goals

never

half the time

always

I felt anxious

never

half the time

always

Physically, I felt strong and healthy

never

half the time

always

I felt proud to be part of my community

never

half the time

always

My family set and achieved clear goals

never

half the time

always

I received help and support when I needed it

never

half the time

always

I felt a sense of choice and freedom in the actions I undertook

never

half the time

always

My community was a positive place to live

never

half the time

always

I felt like I was thriving

never

half the time

always

I was encouraging and supportive of others

never

half the time

always

My family was valuable and worthwhile

never

half the time

always

I felt energized by my life

never

half the time

always

I felt safe in my community

never

half the time

always

I regularly sought feedback

never

half the time

always

My community was an encouraging and supportive place to live

never

half the time

always

My family was interesting and engaging

never

half the time

always

I felt able to manage my own wellbeing

never

half the time

always

My community was a valuable and worthwhile place to live

never

half the time

always

I felt calm

never

half the time

always

My family helped me to be physically strong and healthy

never

half the time

always

I often felt forced to take actions I wouldn’t choose to do

never

half the time

always

I felt insecure about my ability to do the tasks that I needed to each day

never

half the time

always

I felt discriminated against in my community

never

half the time

always

I felt worn out by my life

never

half the time

always

My family was a safe place to bring up problems and talk about mistakes

never

half the time

always

I was satisfied with my community

never

half the time

always

I was able to change my behaviors in order to improve my wellbeing

never

half the time

always

I often felt alone and isolated

never

half the time

always

My family had all the resources we needed to care for our wellbeing

never

half the time

always

I had someone on my block I could call in an emergency

never

half the time

always

My community valued diverse ideas, experiences and people

never

half the time

always

What I did was valuable and worthwhile

never

half the time

always

I was satisfied with my family

never

half the time

always

I felt completely able to do the tasks that I need to do each day

never

half the time

always

I felt excited

never

half the time

always

My community was an interesting and engaging place to live

never

half the time

always

I was satisfied with my life

never

half the time

always

I prioritized daily habits that supported my wellbeing

never

half the time

always

My family encouraged and supported one another

never

half the time

always

The actions I prioritized felt so important I found it hard to switch off

never

half the time

always

My community was committed to supporting the wellbeing of its residents

never

half the time

always

I felt like I was struggling

never

half the time

always

My community made efforts to support my physical health

never

half the time

always

I had all the resources I need to live well

never

half the time

always

I felt it was best to keep my struggles to myself

never

half the time

always

My community had all the resources we need to care for our wellbeing

never

half the time

always

I felt connected with people

never

half the time

always

I felt motivated to care for my wellbeing

never

half the time

always

I felt overwhelmed by the tasks I had to do

never

half the time

always

My community set and achieved clear goals

never

half the time

always

I felt proud to be part of my family

never

half the time

always

I felt that my levels of struggle have increased

never

half the time

always

I was judgemental and critical of myself

never

half the time

always

My family was committed to supporting each other’s wellbeing

never

half the time

always

I was clear on why I took the actions I did

never

half the time

always

I felt safe to bring up problems and be honest about mistakes.

never

half the time

always

How HAPPY did you feel YESTERDAY?

never

half the time

always

How WORRIED did you feel YESTERDAY?

never

half the time

always

How DEPRESSED did you feel YESTERDAY?

never

half the time

always

Taking all things together, over the past two weeks I mostly felt like I was:

Really Struggling

Living well, despite struggle

Not feeling bad, just getting by

Consistently thriving

The biggest cause of my struggles during the last two weeks has been:

My physical health

My mental health

Dealing with people

Managing money

Navigating changes

Caring for others

Other

The biggest barrier to improving my wellbeing over the last two weeks was:

Not enough time

Not enough money

Too much physical effort required

Too much mental energy required

Not sure how to start

Other

When it comes to caring for my wellbeing the THREE most valuable supports my workplace could provide are:

Wellness classes (i.e yoga, nutrition, fitness)

Gym memberships or discounts

Health benefits (i.e. Flu shots, mental health days, etc.)

Employment Assistance Program (EAP)

Wellbeing Coaching

Wellbeing and/or resilience training

Mental first aid training

Other

Nothing

I felt like I most belonged over the last month with: (please select all that apply):

When I’m struggling to care for my wellbeing at work the first person I reach out to:

Someone in my team

Someone outside of my team

My boss

The human resources team

Employee assistance program

My coach or mentor

Friends or family

I would never tell anyone I was struggling

Anything else you’d like to share?

Question	Scale
I felt excited at work	0=Never, 5=half the time, 10=all the time
I felt anxious at work	0=Never, 5=half the time, 10=all the time
I felt calm at work	0=Never, 5=half the time, 10=all the time
My team was a positive group to work with	0=Never, 5=half the time, 10=all the time
My organization was a positive place to work	0=Never, 5=half the time, 10=all the time
I was deeply engaged and interested in my work	0=Never, 5=half the time, 10=all the time
I felt worn out by my work	0=Never, 5=half the time, 10=all the time
I felt energized by my work	0=Never, 5=half the time, 10=all the time
My team was interesting and engaging to work with	0=Never, 5=half the time, 10=all the time
My organization was an interesting and engaging place to work	0=Never, 5=half the time, 10=all the time
I was encouraging and supportive of others.	0=Never, 5=half the time, 10=all the time
I received help and support when I needed it	0=Never, 5=half the time, 10=all the time
I felt alone and isolated in my work	0=Never, 5=half the time, 10=all the time
My team was encouraging and supportive of one another	0=Never, 5=half the time, 10=all the time
My organization was encouraging and supportive of its employees	0=Never, 5=half the time, 10=all the time
The work I did was valuable and worthwhile	0=Never, 5=half the time, 10=all the time
I was clear on why I did the work I did.	0=Never, 5=half the time, 10=all the time
The work I did felt so important I found it hard to switch off.	0=Never, 5=half the time, 10=all the time
My team did work that was valuable and worthwhile	0=Never, 5=half the time, 10=all the time
My organization did work that was valuable and worthwhile	0=Never, 5=half the time, 10=all the time
I set and achieved clear goals	0=Never, 5=half the time, 10=all the time
I felt overwhelmed by the tasks I had to do	0=Never, 5=half the time, 10=all the time
I regularly sought feedback about my work	0=Never, 5=half the time, 10=all the time
My team set and achieved clear goals	0=Never, 5=half the time, 10=all the time
My organization set and achieved clear goals	0=Never, 5=half the time, 10=all the time
Physically, I felt strong and healthy	0=Never, 5=half the time, 10=all the time
My team helped me feel physically healthy	0=Never, 5=half the time, 10=all the time
My organization made efforts to support my physical health	0=Never, 5=half the time, 10=all the time
I had all the resources I needed to successfully do my work	0=Never, 5=half the time, 10=all the time
My team had all the resources it needed to successfully do its work	0=Never, 5=half the time, 10=all the time
My organization had all the resources it needed to successfully do its work	0=Never, 5=half the time, 10=all the time
I felt safe at work to bring up problems and be honest about mistakes.	0=Never, 5=half the time, 10=all the time
My team was a safe place to bring up problems and be honest about mistakes.	0=Never, 5=half the time, 10=all the time
My organization was a safe place to bring up problems and be honest about mistakes.	0=Never, 5=half the time, 10=all the time
I’m committed to healthy and safety at work.	0=Never, 5=half the time, 10=all the time
My team is highly committed to health and safety	0=Never, 5=half the time, 10=all the time
My organization is highly committed to health and safety	0=Never, 5=half the time, 10=all the time
I felt a sense of choice and freedom in the things I undertook at work	0=Never, 5=half the time, 10=all the time
I often felt forced to do many tasks at work I wouldn’t choose to do	0=Never, 5=half the time, 10=all the time
I felt connected with people at work	0=Never, 5=half the time, 10=all the time
I often felt excluded by others at work	0=Never, 5=half the time, 10=all the time
I felt capable of doing my job well.	0=Never, 5=half the time, 10=all the time
I felt insecure about my ability to do my job well.	0=Never, 5=half the time, 10=all the time
I felt able to manage my own wellbeing	0=Never, 5=half the time, 10=all the time
I felt motivated to care for my wellbeing	0=Never, 5=half the time, 10=all the time
I was judgemental and critical of myself.	0=Never, 5=half the time, 10=all the time
I have daily habits that support my wellbeing.	0=Never, 5=half the time, 10=all the time
I was able to change my behaviors in order to improve my wellbeing.	0=Never, 5=half the time, 10=all the time
My organization demanded too much from me	0=Never, 5=half the time, 10=all the time
I felt like I was living well	0=Never, 5=half the time, 10=all the time
I felt like I was struggling	0=Never, 5=half the time, 10=all the time
I felt strongly committed to my organization	0=Never, 5=half the time, 10=all the time
I felt strongly dedicated to my work	0=Never, 5=half the time, 10=all the time
I performed well in the organization.	0=Never, 5=half the time, 10=all the time
My team performed well in the organization	0=Never, 5=half the time, 10=all the time
My organization was a high performer in our industry	0=Never, 5=half the time, 10=all the time
I was satisfied with my job	0=Never, 5=half the time, 10=all the time
I was satisfied with my team	0=Never, 5=half the time, 10=all the time
I was satisfied with my organization	0=Never, 5=half the time, 10=all the time
Taking all things together, I mostly felt like I was:	Really struggling On top of the world Not feeling terrible, just getting by Living well despite struggles
The biggest barrier to improving my wellbeing was [select one]:	Not enough time Not enough money Too much physical effort required Too much mental energy required Not sure how to start Other [please specify]
The most valuable ways my workplace supports my wellbeing are [choose up to three]:	Fruit at work Fitness classes, gym memberships or discounts Flu shots Employment Assistance Program (EAP) Coaching Wellbeing and/or resilience training Mental health training Other (Please specify) Not Applicable – My workplace provides no support for our wellbeing
If there was one thing your workplace could do to better support your wellbeing, what would it be?	Open text
Is there anything else you would like us to know about your wellbeing at work?	Open text

My Experiences

My Feelings

My Wellbeing

My Experiences at Work

My Feelings at Work