Skip to content

Mental Health MOTs Questionnaire

Here in the Changing Minds Team at Conwy Mind, we would like to know what you think about our new project, the Mental Health MOTs.
-
Similarly to going to the Dentist for a 6-month check-up, taking your car for its MOT or talking about your physical health, our Mental Health MOTs are an informal measurement of your wellbeing. In the session with our Wellness Check Workers, we can figure out your current wellbeing and together make an action plan going forward. We also aim to identify your strengths and empower everyone who goes to these sessions.
-
We’d love for you to fill out the form below to help us in our mission to end mental health stigma and make mental health checks a normal part of life.

Please take your time answering the questions and if any subject covered in this questionnaire upsets you, please stop the questionnaire and call Conwy Mind on 01492 879907 or contact Samaritans on 116 123, talk to your GP, or if you require immediate support, please contact 999. Any answer given is kept strictly confidential.
1.How would you describe your gender?(Required.)
2.What is your age?(Required.)
Routine check-ups help maintain our cars, teeth, physical health and our pet’s health. Mental Health MOTs can play a similar role in helping us to maintain our emotional wellbeing. Let’s explore your thoughts:
3.Which of these have you done in the last 12 months? (Choose all that apply)(Required.)
4.What encouraged you to go to any of the above appointments? (E.g. due to legal obligations, as someone recommended it, it is the ‘done thing’ or because it was necessary for health etc)
5.If you answered, ‘None of the above’, what was the reason you have not attended? (E.g. cost, time, fear, didn’t think it was necessary etc)
A Mental Health MOT is a proactive check-in for your mind with a mental health worker. It measures your current wellbeing and helps create an action plan to support/maintain your ongoing wellness.
6.Have you attended a Mental Health MOT in the last 12 months?(Required.)
7.If you have answered ‘No’ to the previous question, what has been the reason for not attending a Mental Health MOT?
8.If you answered ‘Yes’ to the previous question, please explain where you were able to receive a Mental Health MOT and what you understand as a Mental Health MOT.
9.Have you recently received any mental health support, or are you on any waiting lists for this support?(Required.)
10.If you were offered a free, informal, Mental Health MOT, would you consider attending an appointment?(Required.)
11.Please explain why you would or would not attend a Mental Health MOT.(Required.)
The co-founders of The London Centre for Applied Psychology (LCAP), identified the need for a routine mental health check-up. They identified five key periods of life in which a Mental Health MOT should be integrated. These are: 18th birthday (leaving home and going to university), moving in with a partner, starting a family, middle age and retirement.

“Just like we take our car to the garage every year to ensure everything’s still roadworthy and in good working order, we should do the same for our mental health."

- Graham Johnston, co-founder of The London Centre for Applied Psychology (LCAP)

If you want any further information, please read the article here: The Five Points In Our Lives When We Need A Mental Health MOT.
12.Have you gone through any of the following events in your life so far? (Choose all that apply)(Required.)
13.Here are some life events. Please choose the ones you've gone through where a Mental Health MOT would have been helpful:

(Choose all that apply and add any more in ‘Other’ if you think there are any more)(Required.)
14.If you were to be given a non-formal Mental Health MOT, what would you most like to have included within the session? (E.g. a mental health assessment, wellbeing support, signposting to other organisations and/or exploring personal attributes such as strengths and difficulties, etc.)(Required.)
15.If you were to be given a non-formal Mental Health MOT, what would you not like to be included within the session? (E.g. a mental health assessment, exploring personal attributes such as strengths and difficulties and/or formal language, etc.)(Required.)
16.Do you have any additional comments for us?
17.Mental Health MOTs will be starting in early 2025.

If you live in Conwy County and would like to have a free informal Mental Health MOT, please leave your name, email and/or phone number in the boxes below and we will be in touch:
Thank you, your feedback is appreciated as it will enable us to develop the Mental Health MOTs.