Mental Health Survey

MH Survey

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* 1. Gender:

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* 2. Overall how would you rate your mental health?

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* 3. During the past two weeks how often have you felt sad or depressed?

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* 4. During the past two weeks how often has your mental health interfered with your personal relationships?

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* 5. During the past two weeks how often has your mental health interfered with your ability to get work done or accomplish tasks?

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