Peace Over Panic Anxiety Survey
Thank you for taking the time to take this survey. We appreciate your input! 

The Peace over Panic campaign aims to break the bubble of stigma surrounding anxiety. It is often overlooked how anxiety can impact individuals not only mentally but also physically. Our goal is to raise awareness around this topic and see an increase in the number of individuals who feel comfortable discussing their anxiety and seeking help within the community.

You are not required to disclose any personal information that you are not comfortable sharing with us. Please only share what you are comfortable with sharing.
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Name (Unless you'd like to remain anonymous)
Age Range  *
Gender *
Occupation *
What situations or factors tend to trigger your anxiety? (Select all that apply)
 *
Required
On a scale of 1-10 how would you rate your overall anxiety? 1-10
 *
Minimal Anxiety
Extreme Anxiety
How do you cope with your anxiety/moments of anxiousness?
 *
Have you ever felt that anxiety interfered with your ability to make safe decisions?
 *
Has your anxiety ever affected your physical health? If so, please share what/how, only if you are comfortable doing so. If not, simply type "No".
 *
How has anxiety affected your overall well-being?
 *
Extremely Negatively
Neutral
Has anxiety ever affected your performance at work or school or your social life?
*
What do you feel when you are anxious? (select all that apply)
 *
Required
How well do you know about the different types of anxiety or anxiety disorders?
 *
Not Knowledgable
Very Knowledgable
Do you have a trusted individual/group of individuals you are comfortable speaking to about your mental health/anxiety?
 *
How often do you talk about your mental health/anxiety?
 *
Have you ever sought medical or professional help for anxiety?
 *
Do you have a moment in which you are comfortable sharing with us when you experienced anxiety and how you dealt with it?
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