Self Assessment
Please answer the following questions. Results will be shown at the end
Have you been sleeping too little or too long lately?
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Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you feel sad even when everything is generally fine?
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Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Have you been experiencing fatigue without changes in physical activity and eating habits?
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Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you feel restless and breathless often?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you feel your relationship with loved ones is deteriorating?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you seek validation from your family and friends for your work or decisions?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you feel like crying without any reason?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Have you stopped meeting or calling your friends?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Have you been getting angry or annoyed over little matters?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Are you struggling with deadlines at work?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you feel scared about what may happen in the future?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you feel scared and your heart trembles when you are with a group of strangers?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you find yourself stuck with thoughts which doesn’t seem to go away, even keeps you awake at night?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you find yourself not taking timely action for matters which needs attention?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you tend to do certain tasks repetitively, such as washing hands, checking locks, etc.?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you get upset easily when your loved ones or colleagues don’t agree with you?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Do you think other people are not careful regarding the future or upcoming challenges?
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Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Have you been to a doctor for physical pains, stomach problems, headaches and been told that you have no medical problems?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Any of your behavior or feeling as per questions above which is continuing or getting worse in the past 3 weeks?
*
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much
Thank you for answering the questions. Please enter your name and phone number to see your assessment results. Your information will remain confidential with us
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*
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Results