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Mental Wellbeing MOT Check

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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1

How often do you feel stressed?

Select from 1 (low) to 5 (high)
2

Do you feel anxious frequently?

Select from 1 (low) to 5 (high)
3

How well do you sleep at night?

Select from 1 (low) to 5 (high)
4

How often do you experience low mood or depression?

Select from 1 (low) to 5 (high)
5

Are you able to focus on tasks effectively?

Select from 1 (low) to 5 (high)
6

Do you engage in physical exercise regularly?

Select from 1 (low) to 5 (high)
7

How well do you manage stress?

Select from 1 (low) to 5 (high)
8

Do you practice mindfulness or meditation?

Select from 1 (low) to 5 (high)
9

Have you sought professional help for mental health concerns?

Select the appropriate option
10

Would you like to share any additional comments or concerns?

Please provide your thoughts