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Mental health survey template

This mental health assessment questionnaire gathers demographic information, mental health history, symptoms, stressors, and coping mechanisms.

It also rates the overall mental health of the individual and provides contact information for their mental health provider.

Mental health survey

Example questions

Demographic Information:

Mental Health History

Symptoms

Stressors

Coping Mechanisms:

Overall Mental Health

1. Rate your overall mental health
  • 1

  • 2

  • 3

  • 4

  • 5

  • 6

  • 7

  • 8

  • 9

  • 10

2. What concerns do you have about your mental health

Contact Information:

Mental Health Survey Template Builder

Discover LimeSurvey's mental health survey builder and create surveys that can help identify mental health concerns, assess coping mechanisms, and improve communication between patients and mental health providers.

  • Easy and simple to use
  • Statistics
  • Questionnaire templates
  • GDPR compliance
  • So much more…

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Mental health survey questionnaires and template forms can provide valuable insights into an individual's mental health status and identify potential areas of concern, allowing healthcare providers to offer targeted interventions and treatments to improve patient outcomes.
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