Loneliness and Social Dissatisfaction Questionnaire
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Q1. Your name (this will be attached to a person's response when the survey is completed anonymously)
Q2. What’s been happening? Share a relaxed anecdote, case study or recent success.
Q3. Date the activity actually happened
Q4. I have nobody to talk to (single choice)
| Always true | True most of the times | Sometimes true | Hardly ever true | Not true at all |
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Q5. I feel alone (single choice)
| Agree | Disagree | Neutral |
Q6. I've been feeling relaxed: (single choice)
| 1 | 2 | 3 | 4 | 5 |
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Q7. I've been getting on well with people (single choice)
| 1 | 2 | 3 | 4 | 5 |
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Q8. I enjoy what each new day brings (single choice)
| 1 | 2 | 3 | 4 | 5 |
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