#WHO IS CHECKING IN?

1

What is your gender?* This field is required.

Male

Female

2

How old are you?* This field is required.

3

Would you say that you are lonely?

YESNO

4

Do you feel part of a friend group?

YESNO

5

When was the last time you sat down with a friend to have an in-depth conversation in person?

A Week Ago

A Month Ago

3 Months Ago

6 Months Ago

A Year Ago

Over a Year Ago

7

Tell us about the last time you felt lonely. * This field is required.When was this? Do you know what made you feel this way?

8

Tell us about who you turn to when you need to talk about something important. * This field is required.Is there someone like that for you? Who is this person to you? Why do you turn to them?