Create Free Form

Mental Health Screening

Initial mental health assessment. Professional mental health screening template for healthcare use cases.

Questions 7
Est. Time 2 minutes
Category Healthcare
Type Survey
HealthcareFitness
Use this template
Questions in this template
1
opinion scale
I feel anxious or worried
2
opinion scale
I have trouble sleeping
3
opinion scale
I feel sad or hopeless
4
opinion scale
I have difficulty concentrating
5
multiple choice
How long have you felt this way?
Use this template

Related Templates

What is your full legal name?

Patient Intake Form

Collect patient information before visits

12 questions 5-7 minutes
New
Name

Dental Appointment Request

Book dental visit

9 questions 3 minutes
New
Name

Therapy Intake Form

Initial therapy assessment

9 questions 3 minutes