Please answer the following questions as honestly as possible. Your individual results will always be kept confidential.
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- Anxiety 0%
- Depression 0%
- Happiness 0%
- Pain 0%
- Self Esteem 0%
- Social Support 0%
- Trauma 0%
- Well Being 0%
Thank you for taking the Self-Assessment. Your results will be emailed to you and privately stored on your User Profile. We will remind you to take the assessment again in 90 days to see how you are progressing on your journey.
Over the past 2 weeks have you been bothered by feeling nervous, anxious, or on edge?
Over the past 2 weeks have you been bothered by not being able to stop or control worrying?
Over the past 2 weeks have you been bothered by feeling down, depressed, or hopeless?
Over the past 2 weeks have you been bothered by taking little interest or pleasure in doing things?
Over the past 2 weeks have you been bothered by repeated, disturbing memories, thoughts, or images of a stressful experience?
Over the past 2 weeks have you been bothered by feeling very upset when something reminded you of a stressful experience?
Do you feel happy in general? Please rate your happiness on a scale from 0 (not at all) to 10 (very).
Pain in your body may be associated with various life stressors. Please indicate the intensity of your pain level over the past 24 hours on a scale from 0 (not at all) to 10 (very).
In the past two weeks, I have felt cheerful and in good spirits…
In the past two weeks, I have felt calm and relaxed…
In the past two weeks, I have felt active and vigorous..
In the past two weeks, I woke up feeling fresh and rested…
In the past two weeks, my daily life has been filled with things that interest me…
I feel that I am a person of worth, at least on an equal plane with others.
I feel that I have a number of good qualities.
All in all, I am inclined to feel that I am a failure.
I am able to do things as well as most other people.
I feel I do not have much to be proud of.
I take a positive attitude toward myself.
On the whole, I am satisfied with myself.
I wish I could have more respect for myself.
I certainly feel useless at times.
At times I think I am no good at all.
There is a special person who is around when I am in need.
There is a special person with whom I can share joys and sorrows.
My family really tries to help me.
I get the emotional help and support I need from my family.
I have a special person who is a real source of comfort to me.
My friends really try to help me.
I can count on my friends when things go wrong.
I can talk about my problems with my family.
I have friends with whom I can share my joys and sorrows.
There is a special person in my life who cares about my feelings.
My family is willing to help me make decisions.
I can talk about my problems with my friends.