Progress Update

Progress Update

First Name *

Last Name *

Please indicate for each of the statements which is closest to how you have been feeling over the last two weeks:

WHO Well-Being Index

I have felt cheerful and in good spirits *

All of the timeMost of the timeMore than half of the timeLess than half of the timeSome of the timeAt no time

I have felt calm and relaxed *

All of the timeMost of the timeMore than half of the timeLess than half of the timeSome of the timeAt no time

I have felt active and vigorous *

All of the timeMost of the timeMore than half of the timeLess than half of the timeSome of the timeAt no time

I woke up feeling fresh and rested *

All of the timeMost of the timeMore than half of the timeLess than half of the timeSome of the timeAt no time

My daily life has been filled with things that interest me *

All of the timeMost of the timeMore than half of the timeLess than half of the timeSome of the timeAt no time

Total Score

Percentage Score

Total Score

Percentage Score

Mental Well-Being

I have been thinking clearly *

All of the timeMost of the timeMore than half of the timeLess than half of the timeSome of the timeAt no time

I have been solving problems well *

All of the timeMost of the timeMore than half of the timeLess than half of the timeSome of the timeAt no time

I have made my own decisions *

All of the timeMost of the timeMore than half of the timeLess than half of the timeSome of the timeAt no time

Total Score

Percentage Score

Total Score

Percentage Score

Service Quality

These questions are optional though we would greatly appreciate your response.

How would you rate the quality of the service provided by Brendan?

Very high qualityHigh qualityNeither high nor low qualityLow qualityVery low quality

How would you rate the quality of our service as a whole?

Very high qualityHigh qualityNeither high nor low qualityLow qualityVery low quality

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TotalScoreService

PercentageScoreService

PercentageScoreServiceBrendan

PercentageScoreServiceWhole

Total Score

Percentage Score

Percentage Score (Brendan)

Percentage Score (Whole)

Date of Submission