Mental Health Research Screening Questionnaire
Full Name
Age
Email
Gender
Female
Male
Non-binary
Prefer not to say
Other
In the past two weeks, have you felt down, depressed, or hopeless?
Yes
No
In the past two weeks, have you experienced little interest or pleasure in doing things?
Yes
No
Have you ever been diagnosed with a mental health condition by a professional?
Yes
No
If yes, please specify:
Are you currently receiving any treatment or support for mental health?
Yes
No
Is there anything else you would like to share about your mental health?