Assessment

How old are you?

• 18

• 19

• 20

• 21+

Year in College?

• Freshman

• Sophomore

What's your living arrangement like? (Where do you live at, how many people do you live with, who are they, etc.)

What's your occupation?

Do you have disposable income? (Money to spend on personal leisure)

• Yes

• No

• A little bit

What cognition-related activities are you good at? Draw them here :)

What are some activities you like to do that benefit your emotional health?

What physical activities do you think you're good at? Draw them.

What are some leisure activities you want to engage in that you don't already?

What are some of your personal goals in terms of leisure? (For example, are there any domains you want to improve upon? Are there some things you want to do but don't? Do you want to overcome barriers? Be specific!)