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Mental Health Screening Questionnaire

The document outlines a structured screening process for mental health assessment, divided into four sets: Basic Screening, Intermediate Screening, Advanced Screening, and Comprehensive Review. Each set contains a series of questions aimed at evaluating emotional well-being, coping strategies, social interactions, and the impact of stress over time. The progression from initial to comprehensive review allows for tracking changes and developing long-term strategies for mental health management.

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0% found this document useful (0 votes)
4 views3 pages

Mental Health Screening Questionnaire

The document outlines a structured screening process for mental health assessment, divided into four sets: Basic Screening, Intermediate Screening, Advanced Screening, and Comprehensive Review. Each set contains a series of questions aimed at evaluating emotional well-being, coping strategies, social interactions, and the impact of stress over time. The progression from initial to comprehensive review allows for tracking changes and developing long-term strategies for mental health management.

Uploaded by

apurva3296
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Set 1: Basic Screening (Initial Phase)

1. Over the past two weeks, how often have you felt little interest or pleasure
in daily activities?
2. How often have you felt nervous, anxious, or on edge?
3. Have you experienced trouble sleeping or changes in eating habits?
4. How often do academic pressures feel overwhelming?
5. Have you had thoughts about harming yourself or feeling hopeless?
6. Do you find it difficult to focus on your studies?
7. How often do you feel restless or unable to sit still?
8. Do you experience repetitive, unwanted thoughts or feel driven to repeat
actions?
9. Have you been bullied or faced social exclusion recently?
[Link] you frequently feel lonely or isolated?
[Link] you comfortable talking to someone when upset?
[Link] you experience physical symptoms like headaches or stomachaches
during stress?
[Link] you noticed any changes in appetite or weight?
[Link] often do you feel easily irritated or angry?
[Link] you used substances like alcohol or drugs to cope with stress?

Set 2: Intermediate Screening (Follow-up 3-4 months)


1. How often do feelings of sadness or depression interfere with your daily
life?
2. Have you been feeling anxious without clear reasons?
3. Are you getting enough restful sleep regularly?
4. What coping strategies do you use when stressed about schoolwork?
5. Have thoughts of self-harm increased or decreased since the last
screening?
6. How frequently do you struggle to stay attentive during classes?
7. Are impulsive behaviors affecting your relationships or school
performance?
8. How often do compulsions or rituals take up your time?
9. Has the experience of bullying or social difficulties changed?
[Link] you feel more connected or more isolated socially?
[Link] confident are you in seeking help for emotional problems?
[Link] physical symptoms worsen with emotional stress?
[Link] you made changes to your diet or eating patterns recently?
[Link] do you manage feelings of anger or frustration?
[Link] you aware of the effects of substance use on your mental health?

Set 3: Advanced Screening (6-8 months)


1. Can you identify specific triggers for mood changes you've experienced?
2. How do anxiety symptoms impact your academic and social activities?
3. Describe your sleep quality and how it affects your daily functioning.
4. What improvements or challenges have you experienced with stress
management?
5. Describe any recurring suicidal thoughts or urges and their frequency.
6. How effective are your concentration and memory during demanding
tasks?
7. How do hyperactivity or restlessness manifest in your typical day?
8. Describe the impact of obsessive thoughts or compulsive behaviors on
your life.
9. How supported do you feel by peers and adults regarding social issues you
face?
[Link] resources or relationships help decrease your feelings of isolation?
[Link] proactive are you in seeking mental health support and guidance?
[Link] you noticed physical health concerns related to ongoing stress or
emotions?
[Link] what ways have your eating habits adapted to your emotional state?
[Link] do you express and regulate intense emotions?
[Link] your awareness and actions regarding substance use and its
effects.

Set 4: Comprehensive Review (12 months+)


1. Reflect on your overall mood in the past few months—what patterns have
you noticed?
2. How do persistent anxiety symptoms influence your decision-making and
behavior?
3. Evaluate your sleep patterns over the past months and its correlation with
stress.
4. What long-term strategies have you developed to handle academic and
social stress?
5. Describe any progression or reduction in suicidal ideation and emotional
distress.
6. How consistent is your ability to maintain focus and academic
engagement?
7. How do you accommodate or manage symptoms related to hyperactivity?
8. Analyze changes in obsessive-compulsive behaviors and your
management of them.
9. How has your social support network evolved, and what impact does it
have?
[Link] your experience with feelings of loneliness and connection over
the year.
[Link] on your journey with professional help or counseling and its
outcomes.
[Link] physical health trends connected to your emotional and mental
state.
[Link] how your nutrition and eating patterns relate to your mental
health.
[Link] your techniques for emotional regulation and conflict resolution.
[Link] an overview of your relationship with substances and any support
received.

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