Mental and emotional health survey

Question Title

* 1. Have you ever experienced a terrible occurrence that has impacted you significantly?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Question Title

* 2. Do you ever feel that you’ve been affected by feelings of edginess, anxiety, or nerves?

Strongly agree

Agree

Disagree

Strongly disagree

Question Title

* 3. Have you felt particularly low or down for more than 2 weeks in a row?

Very often

Somewhat often

Not so often

Not at all

Question Title

* 4. Is there a history of mental disorder in your family?

Yes

Not sure

Question Title

* 5. How many hours do you sleep per day?

Less than 4

4-6

7-9

Question Title

* 6. Have you seen a therapist in the recent past?

Yes

Question Title

* 7. Have you ever been diagnosed with a mental disorder before?

Yes

Question Title

* 8. During the past 4 weeks, have you had any problems with your work or daily life due to any emotional problems, such as feeling depressed, sad or anxious?

Yes

I dont know

Question Title

* 9. How often do you feel positive about your life?

Always

Usually

Sometimes

Rarely

Never

Mental and emotional health survey

Question Title

* 1. Have you ever experienced a terrible occurrence that has impacted you significantly?

Question Title

* 2. Do you ever feel that you’ve been affected by feelings of edginess, anxiety, or nerves?

Question Title

* 3. Have you felt particularly low or down for more than 2 weeks in a row?

Question Title

* 4. Is there a history of mental disorder in your family?

Question Title

* 5. How many hours do you sleep per day?

Question Title

* 6. Have you seen a therapist in the recent past?﻿

Question Title

* 7. Have you ever been diagnosed with a mental disorder before?

Question Title

* 8. During the past 4 weeks, have you had any problems with your work or daily life due to any emotional problems, such as feeling depressed, sad or anxious?

Question Title

* 9. How often do you feel positive about your life?

* 6. Have you seen a therapist in the recent past?