Mental Health Screening Tool

1. Do you often fail to give close attention to details or make careless mistakes?

2. Do you have difficulty sustaining attention in tasks or activities?

3. Do you often fidget, tap hands or feet, or squirm in your seat?

4. Do you often feel restless or have difficulty remaining seated?

5. Do you often interrupt others or have difficulty waiting your turn?

1. Over the past two weeks, have you felt depressed, sad, or hopeless most of the day, nearly every day?

2. Have you experienced a loss of interest or pleasure in activities you usually enjoy?

3. Have you experienced significant changes in appetite or weight (increase or decrease)?

4. Have you had trouble sleeping (insomnia) or been sleeping too much (hypersomnia)?

5. Have you felt unusually tired or had a loss of energy nearly every day?

6. Have you felt worthless or experienced excessive guilt?

7. Have you had difficulty concentrating, thinking, or making decisions?

1. Have you ever had a period of time when you felt extremely happy, energetic, or irritable for at least one week?

2. During these times, did you need much less sleep than usual and still feel energetic?

3. Did you talk more than usual or feel pressure to keep talking?

4. Did your thoughts race or did you have more ideas than usual?

5. Did you engage in risky behaviors or activities with potentially negative consequences?

1. Over the past six months, have you been excessively worried or anxious about multiple things most days?

2. Do you find it difficult to control your worrying?

3. Do you often feel restless, keyed up, or on edge?

4. Are you easily fatigued or experience muscle tension?

5. Do you have difficulty concentrating or does your mind go blank?

6. Do you experience sleep disturbances (trouble falling/staying asleep)?