Tune In Emotional Health Check v2

Tune In Emotional Health Check v2 - BETA VERSION

For Ministry Workers
We are beta testing an updated version of this questionnaire. While we are in this phase errors may occur. Only the Centre for Effective Serving team have access to your results, and while in testing phase we will be monitoring incoming results closely. If any errors in your form are noted we will let you know. If you do not hear from us assume all is good!

This short self-check helps you pause and notice how you're really going—emotionally, mentally, spiritually, and relationally. It touches on areas that can easily get overlooked in busy ministry life: stress, emotional energy, relationships, spiritual rhythms, and support.

Why pause? Because in ministry, we often sense strain in others before we sense it in ourselves. This check-in helps you listen inwardly and notice what’s going on beneath the surface.

At the end, you’ll get a simple summary of your strengths and areas to watch. This is a brief screen, and not a diagnostic tool. It serves as a quick audit which you can use for personal reflection, mentoring conversations, or planning for rest and support. Your results will also be sent to you via email.

Your details will be kept confidential to the staff and team of Centre for Effective Serving. By proceeding you provide consent for us to use your results in anonymised and aggregated data analysis for our own research, marketing, advertising and social media activities. Your personal details will not be divulged if we use the data for the above purposes.
The following privacy and data security policies are available for the platforms we are using:Jotform and MailChimp.
Name

First NameLast Name
Email (needed to send your results)*
example@example.com
Ministry Position*
YesNo
Name:*
Email Address:*
example@example.com
Relationship to you:*
YesNo
I give consent to be subscribed to the Centre for Effective Serving mailing list

Rows	Never	Once or twice	About once a week	Two or three times a week	Almost every day	Every day
Happy
Interested in life
Satisfied with life

Rows	Never	Once or twice	About once a week	Two or three times a week	Almost every day	Every day
That you had something important to contribute to society
That you belonged to a community
That our society is a good place, becoming a better place, for all people
That people are basically good
That the way our society works makes sense to you
That you liked most parts of your daily life
Good at managing the responsibilities of your daily life
That you had experiences that challenged you to grow and become a better person
Confident to think or express your own ideas or opinions
That your life has a sense of direction or meaning to it
That you had warm and trusting relationships with others

Rows	Not at all	Very little	A little	Somewhat	Quite a bit	Very much	Completely
I was finding it difficult to stay focused on what was happening
I was doing something without paying attention
I was preoccupied with the future or the past
I was doing something automatically, without being aware of what I was doing
I was rushing through something without being really attentive to it

Rows	Strongly disagree	Disagree	Somewhat disagree	Neutral	Somewhat agree	Agree	Strongly agree
It is important to me to try to understand what my feelings mean
Thinking about my thoughts makes me more confused
I often find it difficult to make sense of the way I feel about things

Rows	Not at all	Several days	More than half the days	Nearly everyday
Little interest or pleasure in doing things
Feeling down, depressed, irritable or hopeless
Trouble falling or staying asleep, or sleeping too much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself
Trouble concentrating on things, such as school work, reading or watching television
Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual

Rows	Never	Rarely	Sometimes	Often	Always
1.How often do you feel tired from ministry?
2. How often do you feel emotionally exhausted from your ministry?
3.Do you feel burned out because of your ministry?
4.Do you feel worn out at the end of a ministry day?

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Tune In Emotional Health Check v2 - BETA VERSION