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Student Stress Survey Form Template

Identify and Address Student Stress Effectively

Students today face overwhelming pressure that can lead to stress and anxiety about their academic performance. This Student Stress Survey Form Template helps educators gain valuable insights into students' mental well-being, revealing levels of stress related to schoolwork and other commitments. With this survey, you can identify stressors, track mental health trends, and create effective support strategies, making it an essential tool for enhancing student wellness, fostering healthier environments, and promoting open conversations about mental health. Try out the live template to see how it works for you.

Use this Template (FREE) Live Preview
Do you consent to take part in this voluntary, anonymous survey?
Yes
No
What is your current level of study?
High school
Vocational or certificate
Undergraduate
Graduate
Doctoral
Professional (e.g., MD, JD)
Prefer not to say
Other
Please Specify:
What is your enrollment status?
Full-time
Part-time
Prefer not to say
Other
Please Specify:
What is your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
What is your gender?
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
In the past 2 weeks, how often have you felt stressed by your studies?
Very rarely
Rarely
Sometimes
Often
Very often
Overall, how would you rate your current stress level?
Very low
Low
Moderate
High
Very high
In the past 30 days, how often have you felt overwhelmed?
Very rarely
Rarely
Sometimes
Often
Very often
Which of the following are current sources of stress for you? Select all that apply.
How difficult is your current workload to manage?
Very difficult
Difficult
Neutral
Easy
Very easy
In the past 2 weeks, how often have you had trouble sleeping?
Very rarely
Rarely
Sometimes
Often
Very often
In the past 2 weeks, how often have you had trouble concentrating on tasks?
Very rarely
Rarely
Sometimes
Often
Very often
In the past 2 weeks, how often have you felt irritable or anxious?
Very rarely
Rarely
Sometimes
Often
Very often
Which coping strategies do you currently use? Select all that apply.
Please Specify:
How effective are your current coping strategies?
Not at all effective
Slightly effective
Moderately effective
Very effective
Extremely effective
Are you aware of campus mental health resources?
Yes
No
Not sure
If your stress increases, how likely are you to seek help?
Very unlikely
Unlikely
Neutral
Likely
Very likely
I feel comfortable discussing workload concerns with instructors.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I can balance academic work with my personal life.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I feel safe and supported on campus.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
What is one change the institution could make to reduce your stress?
Anything else you would like to share?
Email for follow-up (optional)
Would you like to be contacted about support resources?
Yes
No
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Paper art illustration related to student stress survey form template and FormCreatorAI.

When to use this form

Use this form when you need a quick pulse on student stress before midterms, during finals week, after a schedule change, or when shifting between in-person and online learning. Advisors and counselors can triage outreach, while instructors adjust workload and timelines based on trends. Pair results with the Learning modality survey form to see if hybrid or remote setups add pressure. If workload is a concern, compare findings with your Sample course evaluation form to spot heavy assignments. For students with accommodations, coordinate next steps with the Teacher input for IEP form. The outcome: faster support plans, fewer crises, and a clear view of what drives stress on your campus.

Must Ask Student Stress Survey Questions

  1. On a scale of 0-10, how stressed have you felt about your coursework in the past two weeks?

    A clear numeric rating tracks change over time and flags urgent cases fast. Break results down by grade using the Education level survey form to tailor resources.

  2. Which top three factors are causing you the most stress right now? (e.g., workload, deadlines, exams, finances, commute, family, health)

    Knowing the top drivers helps you focus on fixes that matter. It also lets you route students to the right services without guesswork.

  3. How many hours of sleep do you get on a typical school night?

    Sleep strongly links to stress and academic performance. If many students get less than 7 hours, you can adjust pacing and promote healthy habits.

  4. How often can you meet assignment deadlines without sacrificing your well-being?

    This reveals workload sustainability, not just effort. Frequent "rarely" responses signal a need to rebalance timelines or reduce overlapping deadlines.

  5. What support would help you most right now? (Choose all that apply: tutoring, deadline flexibility, mental health counseling, study skills, financial aid info, time management)

    Direct asks turn insights into action and simplify referrals. You can also measure uptake after outreach to see which supports work.

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