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Mental Health Assessment Questionnaire

The document consists of a comprehensive questionnaire assessing mental health and well-being, focusing on depression, stress, ADHD, anxiety, and overall life satisfaction. It includes various statements and questions where respondents can indicate their feelings and experiences on a scale from 'Always' to 'Never,' as well as checkboxes for specific challenges and coping mechanisms. The purpose is to evaluate emotional states, coping strategies, and academic performance among individuals.
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0% found this document useful (0 votes)
6 views10 pages

Mental Health Assessment Questionnaire

The document consists of a comprehensive questionnaire assessing mental health and well-being, focusing on depression, stress, ADHD, anxiety, and overall life satisfaction. It includes various statements and questions where respondents can indicate their feelings and experiences on a scale from 'Always' to 'Never,' as well as checkboxes for specific challenges and coping mechanisms. The purpose is to evaluate emotional states, coping strategies, and academic performance among individuals.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd

Depression

1. I often feel lonely or tearful

Always
Often
Sometimes
Rarely
Never

2. I have felt hopeless or helpless recently

Always
Often
Sometimes
Rarely
Never

3. I feel like life is not worth living

Always
Often
Sometimes
Rarely
Never

4. I have thoughts of hurting myself

Always
Often
Sometimes
Rarely
Never

5. I find it difficult to share my feelings with others

Always
Often
Sometimes
Rarely
Never

6. I feel overwhelmed by my emotions

Always
Often
Sometimes
Rarely
Never

7. I often feel happy

Always
Often
Sometimes
Rarely
Never
8. When feeling low, I prefer:(Check all that apply)

Talking to friends
Talking to parents
Talking to teachers
Solving on my own
Ignoring the feelings
Waiting for things to improve
Other:

Stress

1. What challenges did you face during online classes?(Check all that apply)

Difficulty understanding content


Technical issues
Lack of time management
Electricity/internet problems
Personal reasons
Lack of social interaction
Other:
2. I eat even when I'm not hungry due to stress or emotions

Always
Often
Sometimes
Rarely
Never

3. I feel pressure to look a certain way because of social media or peers

Always
Often
Sometimes
Rarely
Never

4. I feel anxious due to:(Check all that apply)

Studies
Exams
Results
College admissions
Career
I don’t feel anxious
Other:
5. I usually cope with stress by:(Check all that apply)

Yoga or meditation
Changing the way I think
Writing a diary
Watching TV
Helping others
Other:
6. I feel hopeful during stressful situations

Always
Often
Sometimes
Rarely
Never

7. I feel overwhelmed by my emotions

Always
Often
Sometimes
Rarely
Never

ADHD

1. I often find it difficult to stay focused during class

Always
Often
Sometimes
Rarely
Never

2. I have trouble finishing assignments or tasks on time

Always
Often
Sometimes
Rarely
Never

3. I frequently forget things like assignments, books, or my personal items

Always
Often
Sometimes
Rarely
Never

4. I get distracted easily, even by things that aren’t part of the task at hand

Always
Often
Sometimes
Rarely
Never

5. I often find myself daydreaming or thinking about unrelated things when I should
be focusing

Always
Often
Sometimes
Rarely
Never

6. I have trouble sitting still or staying in one place for a long time
Always
Often
Sometimes
Rarely
Never

7. I talk or move around excessively, even when it's not appropriate

Always
Often
Sometimes
Rarely
Never

8. I tend to act impulsively, without thinking about the consequences

Always
Often
Sometimes
Rarely
Never

9. I often interrupt others or have trouble waiting for my turn during


conversations

Always
Often
Sometimes
Rarely
Never

10. I struggle with organizing tasks or managing my time effectively

Always
Often
Sometimes
Rarely
Never

11. I often feel restless or find it hard to relax, even when I should be resting

Always
Often
Sometimes
Rarely
Never

12. When I’m asked to complete a task, I often start it but don’t finish it

Always
Often
Sometimes
Rarely
Never

13. Do you often lose things necessary for tasks (e.g., books, pencils,
assignments)?

Always
Often
Sometimes
Rarely
Never

Anxiety

1. I hesitate to ask questions in class

Always
Often
Sometimes
Rarely
Never

2. I find it difficult to initiate conversations

Always
Often
Sometimes
Rarely
Never

3. I worry that people don't like me

Always
Often
Sometimes
Rarely
Never

4. I often feel anxious

Always
Often
Sometimes
Rarely
Never

5.I feel anxious due to:

Always
Often
Sometimes
Rarely
Never

6. I avoid eating in front of others

Always
Often
Sometimes
Rarely
Never
7. I worry excessively about gaining weight

Always
Often
Sometimes
Rarely
Never

Overall Well-being

1. I am able to quickly adapt to changes in life

Always
Often
Sometimes
Rarely
Never

2. I trust others easily

Always
Often
Sometimes
Rarely
Never

3. I feel satisfied with my personal life

Always
Often
Sometimes
Rarely
Never

4. I feel satisfied with my school life

Always
Often
Sometimes
Rarely
Never

5. I feel responsible for doing well in my life

Always
Often
Sometimes
Rarely
Never

6. I feel confident about my body image

Always
Often
Sometimes
Rarely
Never
7. I can understand and respect others’ viewpoints

Always
Often
Sometimes
Rarely
Never

8. People in my life see me as a happy person

Always
Often
Sometimes
Rarely
Never

9. My teachers see me as a good leader

Always
Often
Sometimes
Rarely
Never

10. My friends consider me trustworthy

Always
Often
Sometimes
Rarely
Never

11. I give in to peer pressure to fit in

Always
Often
Sometimes
Rarely
Never

12. I am satisfied with my academic performance

Always
Often
Sometimes
Rarely
Never

13. I am able to submit my assignments on time

Always
Often
Sometimes
Rarely
Never

[Link] prevents you from doing well academically?(Check all that apply)
Lack of concentration
Poor study habits
Difficulty managing time
Distractions
Difficulty understanding content
Other:

15. I feel valued when I perform well academically

Yes
No

16. I get bothered when teachers don’t notice my efforts

Yes
No

17. I feel like I don’t belong or fit in at school

Yes
No

18. I feel jealous of others who are more popular or successful

Yes
No

19. I don’t enjoy group activities or school events

Yes
No

20. I find online classes better than offline classes

Yes
No
Maybe

21. I can understand others’ feelings and respond accordingly

Always
Often
Sometimes
Rarely
Never

22. I get into fights with my classmates or friends

Yes
No

23. I tend to lie or hide the truth to avoid trouble

Yes
No

24. I have trouble following rules or instructions

Yes
No

25. I believe I can solve challenging tasks

Always
Often
Sometimes
Rarely
Never

26. I have people I can talk to about my feelings

Yes
No

27. I feel satisfied with my eating habits

Always
Often
Sometimes
Rarely
Never

28. I skip meals intentionally

Always
Often
Sometimes
Rarely
Never

29. I feel guilty after eating

Always
Often
Sometimes
Rarely
Never

30. Do you think your eating habits affect your emotional or physical well-being

Yes
No
Not Sure

31. [If you answered "Yes" above] In what ways do you feel affected?

I feel tired or weak


I feel anxious about food or my body
I avoid certain foods or meals
I overeat when stressed
I follow strict diets
I compare my body to others
Others

32. I take part in risky activities


Skipping classes
Engaging in unsafe actions (e.g., reckless behavior, unsafe stunts)
Bullying or getting into fights
Experimenting with substances (alcohol, smoking, etc.)
Driving without a license
Stealing or shoplifting
Running away from home
Avoiding homework or assignments intentionally
Using weapons or carrying dangerous objects that could hurt others
Others

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