Updated: Jun 25, 2020


Please answer the questions below by circling the appropriate number.

In the last month:

The Mind Health Questions will give you an indication of how you are traveling mentally. Draw a line down the 3 column (marked in yellow), if you have more circles on the left hand side of this line you are traveling fine, if you have more circles on the right hand side it is time to seek help from your Doctor.

Please show your Doctor the Mind Health Question Form so that he/she can get a greater understanding of how you are feeling mentally. Mental health makes up a third of your overall health outcome. It is as important as physical health and social wellbeing, achieving a balance across the three will mean the best outcome.


Seek help early, monitor stress levels and keep your mind active with puzzles, crosswords and reading.

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