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Industry-Specific

Quality of Life & Wellbeing Assessment Survey

Captures how people rate their overall life satisfaction alongside specific domains — health, finances, work, relationships, and community — then uses an AI follow-up to dig into whichever domain is dragging scores down. Built for wellbeing researchers, HR teams, city planners, and health programs that need both the numbers and the lived reasons behind them.

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設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全14問・約7分
Q01
メッセージ

Thanks for taking a few minutes to reflect on your quality of life. There are no right answers — we're interested in how things actually feel day to day. Your responses are completely confidential and anonymized. This will take about 6-8 minutes.

Q02
オピニオンスケール必須

Overall, how satisfied are you with your life right now?

スケール: 0 – 10
最小:Extremely dissatisfied最大:Extremely satisfied
Q03
マトリクス必須

How satisfied are you with each of the following areas of your life?

7行 × 5列
  • Physical health
  • Mental and emotional wellbeing
  • Financial situation
  • Work or career
  • Relationships and social life
  • ほか2件
列: Very dissatisfied · Dissatisfied · Neutral · Satisfied · Very satisfied
Q04
数値

On average, how many hours of sleep did you get per night over the past week?

Q05
選択式必須

In the last 7 days, on how many days did you get at least 8 minutes of physical activity?

  • 0 days
  • 1-2 days
  • 3-4 days
  • 5-6 days
  • Every day
Q06
オピニオンスケール必須

Thinking about the last 30 days, how would you rate your overall stress level?

スケール: 1 – 10
最小:No stress at all最大:Extreme stress
Q07
選択式必須

In a typical week, how often do you have meaningful contact (in person or by phone/video) with people you feel close to?

  • Daily
  • A few times a week
  • About once a week
  • A few times a month
  • Rarely or never
Q08
ベスト・ワースト選択（MaxDiff）必須

Which of these areas would most improve your quality of life if it got better, and which matters least to you right now?

  • Physical health
  • Financial security
  • Career or work satisfaction
  • Relationships and social connection
  • Personal growth or learning
  • Leisure and hobbies
  • Living environment
  • Sense of purpose or meaning
各セットで最も良いもの・最も悪いものを選択最も良い:Most impactful最も悪い:Least impactful
Q09
評価スケール

How would you rate your neighborhood or community as a place to live?

範囲: 1 – 5
最小:Poor最大:Excellent
Q10
AIインタビュー

Identify the respondent's lowest-rated life domain from the earlier ratings (or their highest-stress area) and probe concretely: what specifically is going wrong day to day, when it started, and what has stopped them from improving it. If they rated everything similarly moderate, ask what a noticeably better week would look like in practice. Anchor on real recent examples, not general feelings.

Q11
選択式

Which age range do you fall into?

  • Under 18
  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65 or older
  • Prefer not to say
Q12
選択式

How do you describe your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q13
選択式

Which best describes your current employment status?

  • Employed full-time
  • Employed part-time
  • Self-employed
  • Unemployed and looking
  • Student
  • Retired
  • Unable to work
  • Prefer not to say
Q14
メッセージ

Thank you for sharing this with us. Your responses will be combined with others (never shared individually) to identify where wellbeing support is needed most and to track how it changes over time.

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Combines a single overall life-satisfaction rating with a matrix covering health, finances, work, relationships, and community, so you get both a headline number and domain-level detail in one flow
  • Includes an AI follow-up interview that automatically identifies each respondent's lowest-rated domain and asks targeted, context-aware questions to surface the 'why' behind low scores — something static forms can't do
  • Pairs objective wellbeing proxies (sleep hours, physical activity days, stress rating, social contact frequency) with a MaxDiff priority question, so results show not just satisfaction but what would move the needle
  • Built-in demographic screening (age, gender, employment status) plus transparent, auditable AI prompts and auto-generated reporting, all on a platform with a free tier and $50/mo Business plan — no hidden academic tier

Jotform

Quality of Life Survey Form Template

A static, fielding-ready form template built on Jotform's drag-and-drop form builder, likely covering standard life-domain questions. It's easy to customize and embed but relies entirely on fixed questions with no dynamic follow-up logic based on individual answers.

優れている点

  • Simple drag-and-drop customization within Jotform's broad form-builder ecosystem
  • Likely supports embedding, file/media fields, and integrations common to Jotform templates

物足りない点

  • Static question set with no adaptive follow-up probing into a respondent's specific low-scoring domain
  • No published methodology for how questions map to reporting or scoring, and no voice-interview option

QuestionPro

Quality of life survey

A template from a full-featured survey platform with strong analytics and reporting tools, positioned for research and CX use cases. The template itself appears to be a fixed question set rather than one that adapts based on a respondent's individual pattern of answers.

優れている点

  • Backed by a research-oriented platform with robust cross-tabulation and reporting features
  • Broad question-type library suitable for building out life-domain matrices and scales

物足りない点

  • No adaptive AI interviewing — follow-up questions, if any, are pre-scripted rather than generated from the respondent's lowest-rated domain
  • No transparent, per-response prompt methodology or automated qualitative probing published on the page

SurveySparrow

Quality of Life Survey Template

Positioned in SurveySparrow's healthcare template category, this uses their conversational chat-style survey format, which can feel more engaging than a plain form. However, the conversational tone is scripted UI styling, not AI-generated follow-up based on actual response content.

優れている点

  • Conversational, chat-like UI that may improve completion rates versus a traditional grid form
  • Positioned specifically for healthcare/wellbeing use cases

物足りない点

  • Chat-style presentation is a fixed script, not an AI system that dynamically probes whichever domain scored lowest
  • No voice-interview mode or automated per-response quality scoring described

SurveyMonkey

Work Life Balance Survey Template & Questions

This template focuses specifically on work-life balance rather than the fuller quality-of-life scope (health, finances, community, relationships), so it's a narrower but adjacent comparison. It's a ready-to-field static template built on SurveyMonkey's established survey infrastructure.

優れている点

  • Narrow, focused question set specifically for work-life balance topics
  • Built on SurveyMonkey's mature distribution and basic reporting tools

物足りない点

  • Scope is limited to work-life balance and doesn't cover the broader domain set (finances, community, health) that a full quality-of-life assessment needs
  • Static question flow with no AI-driven follow-up to explore why a specific domain is dragging scores down

よくあるご質問

「Quality of Life & Wellbeing Assessment Survey」テンプレートにはどのような設問が含まれていますか？

すぐに使える設問が14問含まれており、最初の設問は次のとおりです：「Thanks for taking a few minutes to reflect on your quality of life. There are no right answers — we're interested in how…」・「Overall, how satisfied are you with your life right now?」・「How satisfied are you with each of the following areas of your life?」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか？

回答者は通常、14問を約7分で回答し終えます。

テンプレートは編集できますか？

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか？

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか？

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

このテンプレートを使う無料で始める

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