Free Mental Health Checkup By MantraCare

Please let us know, over the last 2-3 months, how often have you been bothered by any of the following problems, if at all?

Feeling nervous, anxious or on edge?*

None At All

Occasionally

Frequently

Almost constantly

Not being able to stop or control worrying?*

None At All

Occasionally

Frequently

Almost constantly

Trouble relaxing?*

None At All

Occasionally

Frequently

Almost constantly

Being so restless that it is hard to sit still?*

None At All

Occasionally

Frequently

Almost constantly

Becoming easily annoyed or irritable?*

None At All

Occasionally

Frequently

Almost constantly

Feeling afraid as if something awful might happen?*

None At All

Occasionally

Frequently

Almost constantly

Little interest or pleasure in doing things?*

None At All

Occasionally

Frequently

Almost constantly

Feeling down, depressed, or hopeless?*

None At All

Occasionally

Frequently

Almost constantly

Trouble falling or staying asleep, or sleeping too much?*

None At All

Occasionally

Frequently

Almost constantly

Feeling tired or having little energy?*

None At All

Occasionally

Frequently

Almost constantly

Poor appetite or overeating?*

None At All

Occasionally

Frequently

Almost constantly

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

None At All

Occasionally

Frequently

Almost constantly

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

None At All

Occasionally

Frequently

Almost constantly

Have any other people noticed or informed you about any changes in you?*

None At All

Occasionally

Frequently

Almost constantly

Do you feel that you being around does make much difference in the world?*

None At All

Occasionally

Frequently

Almost constantly

Feeling Stressed, burdened or hassled?*

None At All

Occasionally

Frequently

Almost constantly

What are the key reasons for your stress/ anxiety?*

Relationships

Family

Health

Financial

Work

Job Security

Physical Wellbeing

Gender*

Male

Female

Your Age*

Weight (Kgs)*

Height (ft)*

Height (in)*

How long do you exercise in a day?*

Do you have any known health conditions?*

Diabetes

PCOS

Hypertension

Physical Pain(Back/ Neck / Knee)

Thyroid

Cholesterol

Heart Disease

None of the above

Any family member suffering from these conditions?*

None

Diabetes

PCOS

Hypertension

Physical Pain(Back/ Neck / Knee)

Thyroid

Cholesterol

Heart Disease

Do you experience any of these things?*

None

Pee a lot

Always Thirsty

Always Hungry

Feel very tired

Sudden Lose of weight

Blurry vision

How often do you smoke in a day?*

Don’t smoke at all

Less than 5

Between 5 to 10

More than 10

How many drinks do you have in a week?*

Don’t drink at all

Less than 5

Between 5 to 10

More than 10

How many hours do you Sleep daily?*

Less than 4 hours

4 to 6 hours

6 to 8 hours

More than 8 hours

How often do you face difficulty sleeping?*

None At All

Occasionally

Almost constantly

Do you feel the need for a Wellbeing program (Therapy, Yoga, Physio, Dietician) for employees?

Yes

All done! Enter the following details to get the result (Please be assured that your details will be kept confidential.)

Name*

Email*

Company Name

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Department

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Others

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Company Name Hidden

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Product Code Hidden

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Coupon Code Hidden

Phone

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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

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Severe Anxiety Text

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Your Depression Score

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Low Depression Text

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Mild Depression Text

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Moderate Depression Text

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Severe Depression Text

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Your Stress Score

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Anxiety Score value

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Depression Score value

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BMI Stress Value

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Low Stress Text

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Mild StressText

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Moderate Stress Text

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Severe Stress Text

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Overall Mental Health

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Low Overall Text

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Low Overall Text Mail

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Mild Overall Text

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Mild Overall Text mail

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Moderate Overall Text

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Moderate Overall Text Mail

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Severe Overall Text

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Severe Overall Text Mail

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BMI

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Underweight BMI Text

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Overweight BMI Text

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Normal BMI Text

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BMR

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Diabetes

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Low Diabetes Text

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Mild Diabetes Text

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High Diabetes Text

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Sleep

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Medium Sleep Text

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High Sleep Text

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hypertension

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Low Hypertension Risk Text

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High Hypertension Risk Text

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physical

Health Assessment

Please let us know, over the last 2-3 months, how often have you been bothered by any of the following problems, if at all?

Physical Wellbeing

Try MantraCare Wellness Program free