SELF ASSESSMENT

This self-assessment has 20 statements relating to your functioning, well-being, symptoms, and risks. Please reflect on each statement.

Over the last month I have experienced the following:

Functioning
  1. I have felt alone and isolated
  2. I have felt unable to cope when things go wrong
  3. Talking to people has felt too much for me
  4. I have been irritable when with other people         
  5. I have been unable to do most things I needed to                                                        
Well-Being
  1. I have felt tearful
  2. I have felt overwhelmed by my problems
  3. I have felt hopeless about my future
  4. I have felt tense, anxious or nervous
  5. I have been experiencing jealousy and paranoid thoughts
Symptoms
  1. I have had difficulty getting to sleep or staying asleep
  2. I have felt lacking in energy and enthusiasm
  3. I have been avoiding dealing with the problems of daily living
  4. I have been experiencing panic attacks
  5. I am thinking about my problems all the time                                                        
Risks
  1. I have had thoughts of hurting myself
  2. I have been physically and verbally abusive towards others
  3. I have hurt myself physically or taken dangerous risks
  4. I have felt threatened or intimidated by another person
  5. I have had suicidal thoughts

If you have answered yes to any of these statements, you could benefit from receiving some support. Please do not hesitate to get in touch with us.

This self-assessment has 16 statements relating to anxiety and depression. Please reflect on each statement.

Over the last month I have experienced the following:

Anxiety  
  1. I have felt keyed up or on edge
  2. I have been thinking the worst in situations
  3. I have been sleeping poorly
  4. I do not feel at ease or relaxed
  5. I have suffered from diarrhoea, sweating, tightness of the chest, trembling, increase heart rate, nausea, headaches and tingling
  6. I get sudden feelings of panic
  7. I feel a sense of dread as if something awful is about to happen
  8. I have been irritable and over reactive to situation
Depression
  1. I am unable to enjoy the things I used to
  2. I have lost confidence in myself
  3. I feel worthless
  4. I have had difficulties concentrating
  5. I have lost or gained weight due to a change in my appetite
  6. I have not felt like socialising
  7. I am pretending to be happy most of the time
  8. I have lost interest in my appearance

If you have answered yes to any of these statements, you could benefit from receiving some support. Please do not hesitate to get in touch with us.