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Understanding Anxiety & Depression – Psychological Self-Assessment

Dear Beautiful Soul, please take a few minutes of your time to complete the following questionnaire.

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Understanding Anxiety & Depression – Psychological Self-Assessment
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Your Name and email address (required for sharing the report)

Section 1: Identifying Emotional Triggers & Pattern

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1. When did you first start experiencing feelings of anxiety or depression?

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2. Do you notice specific triggers that make your symptoms worse? (e.g., social situations, work pressure, loneliness, uncertainty)

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3. How often do you feel anxious, stressed, or low in a week? (Daily, A few times a week, Occasionally, Rarely)

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4. Do you feel more stressed in the morning or at night? Why do you think that is?

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5. Do you experience racing thoughts that are difficult to control? If so, what do they usually focus on?

Section 2: Thought Patterns & Mental Well-being

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6. How do you typically talk to yourself when something goes wrong? (e.g., self-blame, negative self-talk, neutral, self-compassionate)

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7. Do you often worry about the future or replay past events in your mind?

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8. Do you have trouble making decisions because of fear of making the wrong choice?

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9. Do you find it difficult to trust others, or do you feel like you have to handle things alone?

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10. Do you struggle with perfectionism or feeling like you’re not “good enough”?

Section 3: Behavioral & Physical Symptoms

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11. Have you noticed any physical symptoms related to your emotions? (e.g., fatigue, muscle tension, headaches, stomach issues, sleep disturbances)

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12. How do you usually cope when you feel overwhelmed? (Avoidance, overworking, isolating, distractions, unhealthy habits, etc.)

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13. Do you struggle with emotional numbness—feeling detached or unable to experience joy?

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14. How has anxiety or depression affected your relationships (family, friendships, romantic life)?

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15. Have you lost interest in activities you used to enjoy?

Section 4: Coping Strategies & Support System

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16. Do you have someone to talk to when you’re struggling?

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17. How do you feel after spending time on social media? (More connected, more anxious, no effect)

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18. Have you ever tried therapy or counseling? If not, what stops you?

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19. What are some small things that help you feel better, even temporarily? (Exercise, journaling, talking to a friend, hobbies, nature, etc.)

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20. If you could change one thing about your daily routine that might improve your mental health, what would it be?

Thank you for filling the form. The detailed analysis report will be shared via email, please make sure to provide your email address.

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