Q01
Message
All templates
Life Satisfaction, Priorities, and Outlook Survey
Captures how satisfied people feel about their life overall, what they value most, and how their time and energy actually line up with those values. Built for researchers, coaches, and wellbeing programs who want more than a satisfaction score — the AI follow-up digs into why that score is what it is and where priorities and daily life have drifted apart.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
13 questions · ~7 min
Q02
Opinion ScaleRequired
Overall, how satisfied are you with your life these days?
Scale: 1 – 10
Min:Not at all satisfiedMax:Extremely satisfied
Q03
MatrixRequired
How much do you agree with each statement about your life right now?
5 rows × 5 columns
- I feel in control of the direction my life is going
- I have a clear sense of purpose
- I'm able to balance the different parts of my life
- I feel genuinely supported by the people around me
- I regularly make time for the things that matter most to me
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q04
Best–Worst Trade-off (MaxDiff)Required
Looking at these areas of life, which matters most to you right now, and which matters least?
- Career or professional achievement
- Family relationships
- Physical health
- Financial security
- Personal growth and learning
- Friendships and community
- Leisure and hobbies
- Spiritual or religious life
Pick best & worst per setBest:Matters most to me right nowWorst:Matters least to me right now
Q05
Point AllocationRequired
Thinking about a typical week, how do you actually split your time and energy across these areas? Distribute 100 points to reflect reality, not what you'd like it to be.
- Work or career
- Family
- Health and fitness
- Personal growth
- Friends and social life
- Rest and leisure
Allocate 100 points
Q06
Opinion ScaleRequired
Thinking about the next five years, how do you feel about where your life is headed?
Scale: 1 – 7
Min:Very pessimisticMax:Very optimistic
Q07
Multiple Choice
Which of these best describes your main focus in life right now?
- Building my career
- Raising a family
- Focused on health or recovery
- Exploring a new direction or change
- Feeling settled and stable
- Just getting through day to day
Q08
AI Interview
Anchor on the satisfaction score the respondent gave and the priority they ranked as mattering most. Explore what's really driving that satisfaction score — a specific event, an ongoing pattern, or a general mood — and ask whether the area they said matters most is actually getting the time and energy they described allocating. If there's a clear mismatch (e.g., family ranked top priority but almost no weekly time), probe what's getting in the way and whether that bothers them or feels fine. If satisfaction is very high or very low, ask what would need to change for that to shift.
Q09
Long Text
If one thing could change to make you noticeably more satisfied with your life right now, what would it be?
Q10
Multiple Choice
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
Q11
Multiple Choice
How do you describe your gender?
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Q12
Multiple Choice
Which best describes your current employment situation?
- Employed full-time
- Employed part-time
- Self-employed
- Student
- Homemaker or caregiver
- Retired
- Currently not working
- Prefer not to say
Q13
Message
Thank you for reflecting so openly. Your responses will be combined with others (never shared individually) to better understand how people balance what matters to them with how they actually spend their time.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Goes beyond a single satisfaction score by pairing an opinion-scale rating with a max-diff exercise that forces respondents to rank what actually matters most and least to them right now
- Includes a constant-sum time/energy allocation question so researchers can see the gap between stated priorities and how a typical week is actually spent
- An AI follow-up interview anchors specifically on each respondent's satisfaction score and top-ranked priority, probing why that score is what it is and where drift has occurred — something a static form can't do
- Closes with an open long-text question on the one thing that would move the needle, plus standard demographics, so reports connect the 'what' with the 'why' automatically
Jotform
Life Satisfaction Survey Form TemplateA ready-to-field, customizable form focused on general life satisfaction. It's built on Jotform's drag-and-drop form builder, so it's easy to adapt visually, but the question set is static once deployed. No mechanism for probing the reasoning behind a satisfaction rating.
What it does well
- Fast to deploy and customize via drag-and-drop builder
- Familiar Jotform ecosystem for integrations and data export
- Free-to-start form templates
Where it falls short
- Static question flow with no adaptive follow-up on individual responses
- No built-in interview or voice component to explore the 'why' behind a score
- No automated quality scoring of open-ended answers
QuestionPro
Life attitude survey questions + sample questionnaire templateThis page presents sample life-attitude questions and a template more as a question bank/reference than a single ready-to-run instrument. Useful for drafting a questionnaire manually, but researchers still need to build and program the survey flow themselves.
What it does well
- Broad library of pre-written life-attitude question examples
- Backed by QuestionPro's established survey platform and analytics
- Good starting point for researchers writing their own questionnaire
Where it falls short
- Presented as a question reference/guide rather than a single deployable adaptive instrument
- No adaptive AI interviewing to follow up on individual answers
- No transparent, published prompt logic for any AI-assisted analysis
SurveyMonkey
Work Life Balance Survey Template & QuestionsA focused, fieldable template on work-life balance specifically, which overlaps with but is narrower than overall life satisfaction and priority alignment. Good for HR/employee contexts but doesn't address values ranking or broader life outlook.
What it does well
- Ready-to-use, fieldable template on SurveyMonkey's established platform
- Strong panel/distribution and reporting tools typical of SurveyMonkey
- Familiar UI for HR and employee-experience teams
Where it falls short
- Scope limited to work-life balance rather than whole-life satisfaction and priority drift
- Fixed question set with no adaptive AI follow-up to dig into individual answers
- No task-based or voice-interview option for richer qualitative capture
SurveySparrow
Quality of Life Survey TemplateA ready-made template, but positioned under SurveySparrow's healthcare category, suggesting it's oriented toward clinical/patient quality-of-life measurement rather than general population wellbeing or priority-vs-time-use research. Still broadly comparable as a life-satisfaction-adjacent instrument.
What it does well
- Conversational survey format typical of SurveySparrow's UI
- Ready-to-field template with healthcare-oriented framing
- Supports standard branching logic for basic personalization
Where it falls short
- Healthcare/clinical framing may not fit general wellbeing, coaching, or workplace research use cases
- No adaptive AI interview or voice-based follow-up to explore reasons behind scores
- No automated per-response quality scoring or transparent AI prompt methodology
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.