Do I Need Depression Counselling? Self-check from Sana Psychological.

1

In the past 3 months, have you felt less enthusiasm for life and hobbies?* This field is required.

YESNO

2

In the past 3 months have you had changes to your eating, or sleeping habits not created by a physical condition?* This field is required.

YESNO

3

In the past 3 months have you been sad, down, blue and/or numb the majority of the time or significantly more than usual?* This field is required.

YESNO

4

In the past 3 months have you had thoughts or plans of hurting yourself?* This field is required.

YESNO

5

In the past 3+ months have you experienced periods of normalcy followed by very low times?* This field is required.

YESNO

6

Have you ever been prescribed anti-depressant medication?* This field is required.

YESNO

7

Have you ever been diagnosed with a mood disorder?* This field is required.

YESNO

8

In the past 3 months have you experienced feelings of hopelessness and/or despair?* This field is required.

YESNO

9

In the past 3 months, have you been struggling with motivation and performing daily living tasks?* This field is required.

YESNO

10

In the past 3 months, have you had any recent major changes or stressors?* This field is required.

YESNO

11

In the past 3 months, have you had difficulty getting out of bed in the morning more days than not?* This field is required.

YESNO

12

In the past 3 months, have you been experiencing persistent negative thinking?* This field is required.

YESNO

13

Do you feel your mental health has declined recently?* This field is required.

YESNO

14

What is your email? We'll send you more info.* This field is required.This is not a substitute for professional assessment and diagnosis. You may receive recommendations & free resources from Sana Psyc; you are free to unsubscribe at any time.

example@example.com

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Calculation

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Sorry :( This form is only availble in Canada

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