Questionnaire

How have you been feeling lately?

Negative - "I feel down" Positive - "I feel great"

Over the last week, how were these symptoms? Irritability or frustration

Over the last week, how were these symptoms? Negative or unwanted thoughts

Over the last week, how well could you: Concentrate and remember?

Over the last week, how well could you: Control your emotions ?

Over the last week, how often did you: Fall asleep when you wanted to?

Over the last week, how often did you: Sleep through the night ?

Over the last week, how often did you: Feel connected to friends and family?

Over the last week, how often did you: Feel able to ask for support?

Over the last week, how well could you: Enjoy your favorite activities

Over the last week, how well could you: Control your emotions ?

Over the last week, how often did you: Fall asleep when you wanted to?

Over the last week, how often did you: Feel connected to friends and family?

Good mental health is a right and not a privilege

We believe in the patient first and your experiences inform everything we do. We know waiting times are long at the moment. We can help you now.