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General Mental Health Assessment

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

1.Feeling nervous, anxious, or on edge
2.Not being able to stop or control worrying
3.Feeling down, depressed, or hopeless
4.Little interest or pleasure in doing things
5.Trouble falling or staying asleep, or sleeping too much
6.Feeling tired or having little energy
7.Poor appetite or overeating
8.Trouble concentrating on things
9.Feeling bad about yourself or that you are a failure
10.Becoming easily annoyed or irritable

Your responses are confidential and used only to generate your assessment results.

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