10 MIN CHECK UP

Welcome to the Kintsugi

Well-being Check Up

Begin your journey to maintaining your mental well-being.

At Kintsugi, our mission is to expand access to mental healthcare. By taking the Kintsugi Well-being Check Up, you are directly helping to further research on voice biomarkers with diverse voice capture. Regularly participating in the Kintsugi Well-being Check Up has the potential to foster mental wellness and facilitate personal growth. Be sure to be in a quiet and comfortable location for the next 5-minutes of this survey. The multiple choice questions will ask how you have been feeling in the last 2-weeks. Thank you for your help! Kintsugi Team


What is your email?

How old are you?

With which gender do you most identify?

Please select which race best describes you.

Please select which ethnicity best describes you.

Please enter the zipcode for where you reside.

Is English your first (or native) language?

Please estimate your current bodyweight in pounds (lbs).


Consent for Participation


By typing your full legal name below you are agreeing to participate in the study and are indicating that you understand what is required to participate in the study including the risks and benefits of the study and the alternatives to participation.

You may withdraw your participation from the study at any time by contacting the Principle Investigator. If you have any questions about your rights as a human research subject, please contact the Institutional Review Board listed above.

Microphone Check

Checking browser support.

Your Speaking Section Will Now Begin

It is important that you are in a quiet location for this portion of the survey. While we request 45 seconds of speech, speaking longer will significantly enhance the quality of your reading.

When you are ready, click Next.

Speaking Survey: Practice Recording

  • If you could live anywhere, where would it be? Why?
  • If you could choose to do anything for a day, what would it be. Explain in detail.
  • What is your favorite childhood memory?
When you’re ready, click the record button. Talk for about 45 seconds. Click the countdown timer button to end the recording.

1 of 1: Speaking Survey. Please answer all prompts below starting at the top.

  • How is your day going and why?
  • What are some important rules to follow while driving?
  • What was a defining moment in your life? How has that moment impacted who you are today?
When you’re ready, click the record button. Talk for about 45 seconds. Click the countdown timer button to end the recording.

All the remaining questions will be based on how often you've been bothered by the following issues in the last 2 weeks.

7 Multiple Choice Total

1 of 7: Feeling nervous, anxious, or on edge?

* Select One

2 of 7: Not being able to stop or control worrying?

* Select One

3 of 7: Worrying too much about different things?

* Select One

4 of 7: Trouble relaxing?

* Select One

5 of 7: Being so restless that it's hard to sit still?

* Select One

6 of 7: Becoming easily annoyed or irritable?

* Select One

7 of 7: Feeling afraid as if something awful might happen?

* Select One