Survey

Mind Vibe Check

A depression assessment test is a tool that mental health professionals use to evaluate someone's symptoms and determine whether they meet the criteria for depression.

Depression affects over 264 million people globally (WHO).

Major depressive disorder affects women at a rate of 20-26%.

Major depressive disorder affects men at a rate of 8-12%.

Mind Survey

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Take the Survey to Discover Your Mental Well-being

How often in the last month did you get enough sleep to wake up ready to tackle your day?

0 times per week 1 – 3 times per week 3 or more times per week None

1 out of 19

In the past month how often have you felt sad, down, depressed or overwhelmed?

0 times per week 1 – 3 times per week 3 or more times per week None

2 out of 19

Describe your current physical health:

Great shape- I work out 3-4 times a week

Fair- I work out on occasion and at least walk for 30mins a few times per week

Poor- I am unmotivated to exercise

None

3 out of 19

How has your appetite been over the last month?

Great Fair Poor None

4 out of 19

How has your ability to concentrate or make decisions been over the last month?

Great Fair Poor None

5 out of 19

What do you think of the guy who stares back at you from the mirror?

Love him! He’s got his act totally together!

Most days he’s a confident & solid guy

Neutral-he’s ok but not setting the world on fire

I don’t really like the guy staring back at me

None

6 out of 19

We all know that some things that happen to us in childhood can shape how we view life/stress etc as adults. Please describe your childhood experience:

outstanding home environment

normal home environment

chaotic home environment

witnessed or experienced physical verbal or sexual abuse

None

7 out of 19

In the past month, how often have you felt worried, anxious or stressed out?

never or rarely (1-3 times per month) often (1-3 times per week) every day; I’m always stressed None

8 out of 19

What are the major causes of your stress (check all that apply)?

financial family relationships career unfulfilled expectations health

9 out of 19

When you are triggered, how often do you say or do things you regret?

never rarely (1-3 times per month) often (1-3 times per week) everyday None

10 out of 19

How often do you get violent or make poor decisions when you are angry?

never rarely (1-3 times per month) often (1-3 times per week) every day None

11 out of 19

What about suicidal thoughts or thoughts of hurting yourself?

never on occasion if things are really bad a few times a month all the time None

12 out of 19

Have you been treated by a mental health professional before?

yes, currently in counseling and it helps yes, it was a while ago and it did help a few times but it didn’t help so I stopped going no way, that’s not my jam None

13 out of 19

In general, how do you enjoy the company of friends and family?

typical social interactions

I tend to stay by myself (isolate)

I date or spend time with my friends regularly

None

14 out of 19

In the past month have you enjoyed your favorite hobbies, activities or social life as much as normal?

Yes not as much not at all None

15 out of 19

Any changes in your sex life?

Nope.. It’s really great

I’m not as interested in it as I normally am

I don’t have the energy or desire for sex like I used to

None

16 out of 19

How often do you drink or use recreational drugs to get high or relax?

never or infrequently (0-1 times per week)

sometimes or socially (2-3 times per week)

often (4 or more times per week)

None

17 out of 19

When you partake in alcohol or recreational drugs, how much do you typically use?

(1-2 drinks,1-2 edibles or 1-2 hits of marijuana/joint) for the night

(3 or more drinks or 3 or edibles/hits of marijuana/joint) for the night

I only binge on the weekends

I don’t drink or use drugs

None

18 out of 19

Have your ever tried to give up drugs or alcohol because you or someone you know thought you have a problem?

Never yes in the past recently None

19 out of 19

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