Psychological wellbeing / support

  • Psychological wellbeing / support

  • This questionnaire is designed to check for signs of anxiety and depression. Answering the questions honestly can be a helpful first step in starting a conversation about your psychological wellbeing and helps your healthcare team understand how to best support your needs at this time.

  • Over the last 2 weeks, how often have you been bothered by the following problems?

  • Thank you for completing the psychological wellbeing/support questionnaire.

    Please make a note of your score to share with your health professional.

    If you provided an email address at the start you will receive an email from 'Jotform' with a pdf of your results attached after you click the submit button below. 

    Your next steps:

    • Visit the national prehabilitation website or scan the QR code below to access 

    • Attend a universal prehabilitation workshop at your local Maggie’s Centre or equivalent local organisation.

    Your medical team may ask you to repeat this questionnaire in the future to see if there has been a change in your psychological wellbeing. If you notice a change in your psychological wellbeing or general health after completing the questionnaire please contact your medical team for advice.

  • Thank you for completing the psychological wellbeing/support questionnaire.

    Please make a note of your score to share with your healthcare team as instructed. Your healthcare team may contact you to discuss your score in more detail.

    If you provided an email address at the start you will receive an email from 'Jotform' with a pdf of your results attached after you click the submit button below.

    Your next steps:

    • Visit the national prehabilitation website or scan the QR code below to access 

    • Attend a universal prehabilitation workshop at your local Maggie’s Centre or equivalent local organisation.

    Your medical team may ask you to repeat this questionnaire in the future to see if there has been a change in your psychological wellbeing. If you notice a change in your psychological wellbeing or general health after completing the questionnaire please contact your medical team for advice.

  • Thank you for completing the psychological wellbeing/support questionnaire.

    Please make a note of your score to share with your healthcare team as instructed. Your healthcare team may contact you to discuss your score in more detail.

    If you provided an email address at the start you will receive an email from 'Jotform' with a pdf of your results attached after you click the submit button below.

    Your next steps:

    • Visit the national prehabilitation website or scan the QR code below to access 

    • Attend a universal prehabilitation workshop at your local Maggie’s Centre or equivalent local organisation.

    Your medical team may ask you to repeat this questionnaire in the future to see if there has been a change in your psychological wellbeing. If you notice a change in your psychological wellbeing or general health after completing the questionnaire please contact your medical team for advice.

  • Should be Empty: