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How much time to you spend on self care every week?

0 hours

1-3 hours

3-6 hours

no time at all

How would you rate your level of happiness from 0 to 10?

1

2

3

4

5

6

7

8

9

10

How often do you make time for friends and family?

weekly

monthly

not very often

How do you feel about your ability to deal with stress in healthy ways?

I deal with stress well and I have a good support system

I deal with stress well, but I think I can improve

I don't experience stress

Have you seen a doctor for a checkup within the last year?

yes

no

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