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Psychological Health Survey

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

Secured
1

How often do you experience feelings of anxiety?

Select the option that best corresponds to your experience.
2

Rate your overall level of happiness on a scale of 1 to 10.

1 being extremely unhappy and 10 being extremely happy.
3

In what ways do you cope with stress?

Please provide a brief description of your coping mechanisms.
4

How often do you feel overwhelmed?

Select the option that best describes your feelings of being overwhelmed.
5

On a scale from 1 to 5, how would you rate your current stress level?

1 being low stress and 5 being high stress.
6

Do you have trouble sleeping at night?

Please select yes or no.
7

How do you usually feel in social situations?

Select the option that best reflects your feelings in social settings.
8

Do you have any specific fears or phobias?

Please provide details if applicable.
9

Are you currently receiving any form of psychological therapy or counseling?

Please select yes or no.
10

How would you rate your overall mental well-being recently?

Choose the option that best describes your current mental state.