School-Based Behavioral Health Survey Template

We want to learn about your understanding and experience of behavioral health within the public schools.

Behavioral health, sometimes called mental health, affects how we think, feel, and act. Some examples of behavioral health include whether we feel good or bad, how we get along with other people, and our ability to follow rules and directions.  Some examples of behavioral health problems include depression, anxiety, ADHD, behavior problems, and problems with drugs or alcohol.

Your answers will remain anonymous.
1.Please estimate the frequency that the students you interact with experience the following behavioral health problems.
Never
Rarely
Sometimes
Often
I don't know
Feeling stressed about school work
Feeling stressed about relationships with other students
Feeling pressured by other students to do things they don’t want to do
Bullying
Being impulsive
Trouble paying attention