Mental Health Survey
Depression (PHQ-9)
Over the last two weeks, how often have you felt little interest or pleasure in doing things?
Not at all
Several days
More than half the days
Nearly every day
Over the last two weeks, how often have you felt down, depressed, or hopeless?
Not at all
Several days
More than half the days
Nearly every day
Over the last two weeks, how often have you had trouble falling or staying asleep, or sleeping too much?
Not at all
Several days
More than half the days
Nearly every day
Over the last two weeks, how often have you felt tired or had little energy?
Not at all
Several days
More than half the days
Nearly every day
Over the last two weeks, how often have you felt bad about yourself, or that you are a failure or have let yourself or your family down?
Not at all
Several days
More than half the days
Nearly every day
Anxiety (GAD-7)
Over the last two weeks, how often have you felt nervous, anxious, or on edge?
Not at all
Several days
More than half the days
Nearly every day
Over the last two weeks, how often have you been unable to stop or control worrying?
Not at all
Several days
More than half the days
Nearly every day
Over the last two weeks, how often have you found it hard to relax?
Not at all
Several days
More than half the days
Nearly every day
Over the last two weeks, how often have you been so restless that it’s hard to sit still?
Not at all
Several days
More than half the days
Nearly every day
Over the last two weeks, how often have you felt afraid as if something awful might happen?
Not at all
Several days
More than half the days
Nearly every day
Bipolar Disorder (MDQ)
Have you ever had a period of time when you were feeling so good or hyper that other people thought you were not your normal self or you were so hyper that you got into trouble?
Yes
No
Have you ever had a period of time when you were so irritable that you started arguments, shouted at people, or hit people?
Yes
No
Have you ever had a period of time when you felt much more self-confident than usual?
Yes
No
Have you ever had a period of time when you got much less sleep than usual and found you didn't really miss it?
Yes
No
Have you ever had a period of time when you were much more talkative or spoke much faster than usual?
Yes
No
Resilience (CD-RISC)
I tend to bounce back quickly after hard times.
Not true at all
Rarely true
Sometimes true
Often true
True nearly all the time
I can adapt to change easily.
Not true at all
Rarely true
Sometimes true
Often true
True nearly all the time
I believe I can achieve my goals, even if there are obstacles.
Not true at all
Rarely true
Sometimes true
Often true
True nearly all the time
I am not easily discouraged by failure.
Not true at all
Rarely true
Sometimes true
Often true
True nearly all the time
I see the humorous side of things when faced with problems.
Not true at all
Rarely true
Sometimes true
Often true
True nearly all the time
Postnatal Depression (EPDS)
In the past 7 days, have you been able to laugh and see the funny side of things?
Yes
No
In the past 7 days, have you looked forward with enjoyment to things?
Yes
No
In the past 7 days, have you blamed yourself unnecessarily when things went wrong?
Yes
No
In the past 7 days, have you felt anxious or worried for no good reason?
Yes
No
In the past 7 days, have you felt so unhappy that you have had difficulty sleeping?
Yes
No
Global Assessment (CGI)
Overall, how would you rate your mental health on a scale from 1 to 10?
How much has your mental health affected your daily life in the past month?
How would you rate the overall severity of your mental health symptoms?
How would you rate your ability to function in your daily activities, such as work, social interactions, and self-care?
How much improvement have you noticed in your mental health since your last assessment?
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