Grade 5 Well-being Questionnaire

How do you feel when you wake up in the morning?

• Energized and ready for the day

• A little tired but okay once I get moving

• Exhausted and wanting to sleep more

• Stressed about the day ahead

How often do you feel stressed or anxious?

• Rarely or never

• Sometimes, but I can handle it

• Often, it can be overwhelming

• Almost every day

How much physical activity do you get in a typical week?

• More than 5 days a week

• 3-4 days a week

• 1-2 days a week

• Rarely or never

How do you feel after spending time with friends or family?

• Happy and supported

• It depends on the situation

• A little overwhelmed or tired

• I prefer being alone most of the time

How would you describe your diet and eating habits?

• I eat balanced meals with plenty of fruits and vegetables

• I try to eat healthy but sometimes eat junk food

• I eat whatever is convenient, not always healthy

• I don’t really think much about what I eat

How well do you manage balancing schoolwork, activities, and rest?

• I manage my time well and feel balanced

• I manage okay, but sometimes I feel overwhelmed

• I often feel like I don’t have enough time for everything

• I constantly struggle to balance everything

When you feel upset, how do you usually cope with your emotions?

• I talk to someone or find a healthy way to deal with it

• I distract myself with hobbies or activities

• I keep my feelings to myself

• I struggle to cope and don’t know what to do

How much sleep do you get on a typical night?

• 8-9 hours

• 6-7 hours

• 4-5 hours

• Less than 4 hours

How connected do you feel to your community (friends, school, clubs)?

• Very connected and supported

• I have a few connections but would like more

• I feel a little isolated sometimes

• I feel mostly disconnected from my community

How often do you take time to relax or do something you enjoy?

• Every day

• A few times a week

• Occasionally, but not often

• Rarely or never