Mental Health Survey Mental Health Survey MH Survey Question Title * 1. Gender: Male Female Others Prefer not to say Question Title * 2. Overall how would you rate your mental health? Excellent Very good Good Fair Poor Question Title * 3. During the past two weeks how often have you felt sad or depressed? Extremely often Very often Somewhat often Not so often Not at all often Question Title * 4. During the past two weeks how often has your mental health interfered with your personal relationships? Extremely often Very often Somewhat often Not so often Not at all often Question Title * 5. During the past two weeks how often has your mental health interfered with your ability to get work done or accomplish tasks? Extremely often Very often Somewhat often Not so often Not at all often Next