Mental Health Assessment

The questions below ask about anxiety and worrying. In the last 6 months, have you experienced any of the following symptoms? If so, how often?

1] I was very anxious, worried or scared about a lot of things in my life.

A) Always

B) Often

C) Sometimes

D) Never



2] I felt that my worry was out of my control.

A) Always

B) Often

C) Sometimes

D) Never



3] I felt restless, agitated, frantic, or tense.

A) Always

B) Often

C) Sometimes

D) Never



4] How often do you feel stressed or anxious?

A) Always

B) Often

C) Sometimes

D) Never



5] I had trouble sleeping - I could not fall or stay asleep, and/or didn't feel well-rested when I woke up.

A) Always

B) Often

C) Sometimes

D) Never



6] How frequently did you experience panic attacks in the last 6 months?

A) Always

B) Often

C) Sometimes

D) Never



7] I feel irritated and annoyed by things in my life.

A) Always

B) Often

C) Sometimes

D) Never



8] I find it really hard to do anything, especially work.

A) Always

B) Often

C) Sometimes

D) Never



9] I am so tired I don’t have the energy to do anything.

A) Always

B) Often

C) Sometimes

D) Never



10] I am irritable or enraged because of minor issues (or for no reason at all).

A) Always

B) Often

C) Sometimes

D) Never