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Loneliness and Social Dissatisfaction Questionnaire

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Uploaded by: Makerble Templates

*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)

Question Settings ▼ ▲

Always true True most of the times Sometimes true Hardly ever true Not true at all
1 2 3 4 5

Dropdown List used: I have nobody to talk to

Q5. I feel alone (single choice)

Question Settings ▼ ▲

Agree Disagree Neutral

Dropdown List used: I feel alone

Q6. I've been feeling relaxed: (single choice)

Question Settings ▼ ▲

1 2 3 4 5
1 2 3 4 5

Dropdown List used: I think good things will happen in my life

Q7. I've been getting on well with people (single choice)

Question Settings ▼ ▲

1 2 3 4 5
1 2 3 4 5

Dropdown List used: I think good things will happen in my life

Q8. I enjoy what each new day brings (single choice)

Question Settings ▼ ▲

1 2 3 4 5
1 2 3 4 5

Dropdown List used: I think good things will happen in my life

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360°
360°
Invite observers to answer a survey about a contact in your CRM. Send out invitations for several contacts at once via email, SMS or your own channels.

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Universal
Universal
Allow anyone with the link to submit a survey response.
Optionally generate a QR code.
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Tracked
Tracked
Track responses to individual contacts. Send survey invitations via email and SMS - with automated reminders - or your own communication channels.
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Anonymised
Anonymised
Hide the identity of each respondent when collecting responses from saved contacts or a list of email addresses.
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Import
Import
Upload survey responses from a spreadsheet with a row per respondent and column per question.
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API
API
Send out survey invitations programmatically and/or receive responses via the API..
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Type Up: 1 at a time
Type Up: 1 at a time
Submit a survey response about a saved contact while filling in a survey in-person (CAPI), over the phone (CATI) or typing up a paper survey response.
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Type Up: Several at once
Type Up: Several at once
Use the Answers Table to submit responses to each question. There’s one row per contact. Responses are automatically linked to individual contacts.
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Type Up: Manual Headcount
Type Up: Manual Headcount
Enter responses without the need for individual contacts or respondents. Enter the number of people who gave each answer to each question.
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Universal Manual Headcount
Universal Manual Headcount
Collect manual headcount responses from anyone with the link.

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Multi-stage
Multi-stage
Collect demographic data. Thread several surveys together. Deliver advanced survey experiences.
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Branded Portal
Branded Portal
Provide respondents with a password-protected space to submit, review, discuss or act upon survey responses.
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Automation
Automatically send out survey invitations whenever certain rules are met
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