Loneliness Survey

  • Instructions: The following statements describe how people sometimes feel. For each statement, please indicate how often you feel the way described by placing a check in the space provided. Here is an example: How often do you feel happy? If you never felt happy, you would check “never”; If you often feel happy, you would check “Often.”

    Check one option for each statement:
    • Often — “I often feel this way”
    • Sometimes — “I sometimes feel this way”
    • Rarely — “I rarely feel this way”
    • Never — “I never feel this way”