Mind Health Check

1

Over the past 2 weeks, how often have you felt little interest or pleasure in doing things?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

2

Over the past 2 weeks, how often have you felt down, depressed, or hopeless?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

3

Over the past 2 weeks, how often have you had trouble falling or staying asleep, or sleeping too much?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

4

Over the past 2 weeks, how often have you felt tired or had little energy?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

5

Over the past 2 weeks, how often have you had little appetite or overeating?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

6

Over the past 2 weeks, how often have you felt bad about yourself – or that you are a failure or have let yourself or your family down?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

7

Over the past 2 weeks, how often have you had trouble concentrating on things, such as reading the newspaper or watching television?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

8

Over the past 2 weeks, how often have you been 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?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

9

Over the past 2 weeks, how often have you had thoughts that you would be better off dead, or of hurting yourself in some way?* This field is required.

Not at all

Several days

More than half the days

Nearly every day

10

Email* This field is required.

example@example.com

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

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Calculation

12

13

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