How often do you feel lonely?

How satisfied are you in general with your community?

During the past six months, have your social activity levels changed?

Which of the following describes your current marital status?

Please add any additional comments about your Social wellness:

Select the statement that best describes your plans for improving your social connections.

How confident are you in your ability to enhance or deepen your social connections?

Do you have access to reliable transportation to meet your everyday needs?

How often do you participate in travel, hobbies, crafts or other activities that you enjoy?

How satisfied are you with your current work/life balance? If you are not working, how satisfied are you with your ability to balance obligations with personal fulfillment?