in partnership with

Mental Health Assessment

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Step 1 of 18

5%

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Feeling nervous, anxious or on edge?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Not being able to stop or control worrying?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Trouble relaxing?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Being so restless that it is hard to sit still?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Becoming easily annoyed or irritable?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Feeling afraid as if something awful might happen?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Little interest or pleasure in doing things?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Feeling down, depressed, or hopeless?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Trouble falling or staying asleep, or sleeping too much?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Feeling tired or having little energy?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Poor appetite or overeating?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Feeling bad about yourself – or that you are a failure or have let yourself or your family down?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Trouble concentrating on things, such as reading the newspaper or watching television?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Moving or speaking so slowly that other people could have noticed? Or the opposite – being so fidgety or restless that you have been moving around a lot more than usual?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Thoughts that you would be better off dead, or of hurting yourself in some way?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Feeling Stressed, burdened or hassled?

Not At All

Several Days

More Than Half the days

Nearly Everyday

What are the top reasons for your stress / anxiety?

Relationship

Career

Academics (Exam / Grades)

Financial

Health

Self-esteem (weight, height, color, race etc)

Family / Parents

Sleep issues

Enter following details to get the result

Name*

Email

(optional)

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Phone

Campus Name*

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Campus Name Hidden

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Your Anxiety Score

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Low Anxiety Text

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Mild Anxiety Text

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Moderate Anxiety Text

Hidden

Severe Anxiety Text

Hidden

Your Depression Score

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Low Depression Text

Hidden

Mild Depression Text

Hidden

Moderate Depression Text

Hidden

Severe Depression Text

Hidden

Your Stress Score

Hidden

Low Stress Text

Hidden

Mild Stress Text

Hidden

Moderate Stress Text

Hidden

Severe Stress Text

Hidden

Overall Mental Health

Hidden

Low Overall Text

Hidden

Mild Overall Text

Hidden

Moderate Overall Text

Hidden

Severe Overall Text

Note : This free health checkup camp is organized by MIT Mysore. This camp includes free & confidential sessions with therapists, doctors, dieticians, physios, yoga instructors for the next 5 days.

Try MantraCare Wellness Program free

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