This is a set of questions that will help you understand if you are experiencing certain problems where a psychologist can be of help. These are generic questions and not indicative of a specific psychological disorder.
Please rate the statements given below on a scale of 1 to 5, with 1 being never and 5 being all the time. Answer in terms of experiences over the last one month or long term habits.
How often have you been upset because of something that happened unexpectedly?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
How often have you felt that you were unable to manage the important things in your life (work, studies, family, friends etc.)?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
How often have you felt nervous, worried and stressed?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
How often have you found that you could not cope with all the things that you had to do?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
How often have you felt sad and depressed?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
How often have you felt angry and irritable?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
How often have your friends and family members mentioned that they are worried about you?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
How often do you think there is a problem with your thinking, feeling and behaving style (everything seems to be my fault)?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
How often have you found it difficult to focus on the work and task at hand?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
How often have you found that you are not sleeping very well?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
How often have you found that you are not eating very well?
1. Never
2. Rarely
3. Sometimes
4. Often
5. Always
How do you spend your leisure/free time?
Hobbies
Meeting Friends
Outings
Watching TV
Nothing Specific
Others
Do you think that
You are feeling stressed, depressed, angry, anxious or not yourself,
There have been unexplainable changes in your physical health,
You have experienced a traumatizing event that you are trying to process (even if it was a long time ago),
You are having problems in your important relationships,
You are embarrassed to share and/or confused about the cause and solution to your problems.
If you are experiencing some of the above mentioned problems, a psychologist can help you resolve them using psychotherapeutic techniques.
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