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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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질문 14개 · 약 7분
Q01
메시지

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
의견 척도필수

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

척도: 0 – 10
최소:Extremely dissatisfied최대:Extremely satisfied
Q03
매트릭스필수

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

7개 행 × 5개 열
  • Physical health
  • Mental and emotional wellbeing
  • Financial situation
  • Work or career
  • Relationships and social life
  • 외 2개
열: Very dissatisfied · Dissatisfied · Neutral · Satisfied · Very satisfied
Q04
숫자

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

Q05
객관식필수

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
의견 척도필수

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

척도: 1 – 10
최소:No stress at all최대:Extreme stress
Q07
객관식필수

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
최선·최악 선택형(MaxDiff)필수

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
세트별 최선·최악 선택최선:Most impactful최악:Least impactful
Q09
평점 척도

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

범위: 1 – 5
최소:Poor최대:Excellent
Q10
AI 인터뷰

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
객관식

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
객관식

How do you describe your gender?

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

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
메시지

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.

포함된 기능

  • AI 후속 질문

    정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.

  • 주의력 확인 장치

    성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.

  • AI가 작성한 문안

    문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.

  • 자동 리포트

    응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.

다른 서비스와 비교

다른 설문 도구의 가장 유사한 템플릿을 검토했습니다. 그 도구들이 잘하는 점과, 이 템플릿이 한발 더 나아가는 지점을 정리했습니다.

이 템플릿을 선택하는 이유

  • 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.

잘하는 점

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

아쉬운 점

  • 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.

잘하는 점

  • 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

아쉬운 점

  • 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.

잘하는 점

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

아쉬운 점

  • 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.

잘하는 점

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

아쉬운 점

  • 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

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