Head In The Game Feedback

Head In The Game Feedback

By sharing your feedback in this questionnaire, you'll not only help us improve our service but also give us an opportunity to understand how things are for you.
First Name*
Surname*
Email*
example@example.com
Mobile Number*
Please enter a valid phone number.Format: 00000 000 000.
At what location are you attending Head In The Game?*

Rows	Not At All	Several Days	More Than Half The Days	Neary Every Day
Little interest or pleasure in doing things?
Feeling down, depressed, or hopeless?
Trouble falling or staying asleep, or sleeping too much?
Feeling tired or having little energy?
Poor appetite or overeating?
Feeling bad about yourself - or that you're a failure or have let yourself or your family down?
Trouble concentrating on things, such as reading the newspaper or watching television?
Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual?
Thoughts that you would be better off dead or of hurting yourself in some way?