Spiritual Identity & Well-Being Survey

Spiritual Identity & Well-Being Survey

Women Ages 25-36 in Urban Communities (East Coast)
This survey is anonymous. Your responses will be kept confidential and no personally identifiable information will be collected.
General Evaluation
1. I feel confident in my spiritual identity.

1

2

3

4

5

1 is NEVER, 5 is VERY OFTEN
2. I feel safe expressing my doubts or struggles within my church community.

1

2

3

4

5

1 is NEVER, 5 is VERY OFTEN
3. I have experienced feelings of shame, judgment, or "church hurt" within a Christian community.

1

2

3

4

5

1 is NEVER, 5 is VERY OFTEN
4. I feel a sense of belonging within my faith community.

1

2

3

4

5

1 is NEVER, 5 is VERY OFTEN
5. I feel supported emotionally by members of my church community.

1

2

3

4

5

1 is NEVER, 5 is VERY OFTEN
6. I feel comfortable asking spiritual questions within my church environment.

1

2

3

4

5

1 is NEVER, 5 is VERY OFTEN
7. I sometimes feel pressure to appear spiritually "strong" even when I am struggling.

1

2

3

4

5

1 is NEVER, 5 is VERY OFTEN
8. My church community encourages both spiritual growth and emotional well-being.

1

2

3

4

5

1 is NEVER, 5 is VERY OFTEN
9. I have considered leaving a church community because I did not feel understood or supported.

1

2

3

4

5

1 is NEVER, 5 is VERY OFTEN
10. Is there anything you wish churches better understood about mental health and spiritual identity?
About Your Mental Health
YesNo
YesNo
Racial or cultural stressRelationship difficultiesPast traumaCurrent events (news, politics, etc.)Loneliness or isolationGrief or loss of someone or somethingFinancial stressExperiences within religious or spiritual communitiesNot applicableOther
YesNoPrefer not to say
Feeling judged by church membersFeeling spiritually inadequate or "not good enough"Being labeled as "lukewarm" in faithDifficulty balancing faith and previous lifestyleLack of emotional support in church communityOther
About You
Age Range
Gender
Race/Ethnicity
Less than 1 year1–3 years4–7 years8+ yearsI recently recommitted to my faith
CatholicBaptistPentecostal/CharismaticMethodistPresbyterianSeventh-day AdventistNon-denominationalOther
Should be Empty:

Spiritual Identity & Well-Being Survey

General Evaluation

About Your Mental Health

About You