Mental Health Questionnaire

(Created using Co-Pilot)

Instructions:

Over the past 2 weeks, how often have you experienced the following?

1 — Not at all

2 — Several days

3 — More than half the days

4 — Nearly every day

Items

1. I’ve felt down, sad, or hopeless.
2. I’ve had little interest or pleasure in doing things.
3. I’ve felt nervous, anxious, or on edge.
4. I’ve had trouble controlling my worries.
5. I’ve felt overwhelmed by stress or responsibilities.
6. I’ve had trouble sleeping or felt unrested.
7. I’ve had low energy or felt easily fatigued.
8. I’ve had difficulty concentrating or staying focused.
9. I’ve felt lonely or disconnected from others.
10. I’ve used substances (alcohol, vaping, cannabis, etc.) to cope with stress.

Interpreting Responses

• Mostly 1s–2s: Typical stress levels; continue monitoring.
• Several 3s–4s: Could indicate elevated stress, anxiety, or mood concerns — consider talking with a counselor or mental health professional.
• Many 4s: Strongly consider seeking professional support.