Over the last 2 weeks, how often have you been bothered by any of the following problems?
Please note, all fields are required.
1. Feeling nervous, anxious, or on edge
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
2. Not being able to stop or control worrying
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
3. Worrying too much about different things
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
5. Being so restless that it is hard to sit still
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
6. Becoming easily annoyed or irritable
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
7. Feeling afraid, as if something awful might happen
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
Optional Questions
Please take a moment to answer the following optional questions. Your answers are totally anonymous—we won't be able to identify you based on this information. Your answers help us provide better information and support for people like you.
You can answer as many or as few questions as you would like. When you are done, scroll to the bottom of the survey and click "submit" to receive your screening results.
Are you taking this test for yourself or for someone else?
For myself
For someone else
About You
Age Range
Select your age range
Under 18
18-24
25-34
35-44
45-54
55-64
65 and over
Gender
Female
Male
Non-Binary
Select Race/Ethnicity
Select your race/ethnicity
Asian
Black or African American
Hispanic or Latino
White
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Two or more races
Others
Prefer not to say
Household Income
Select Your Nationality
Select your nationality
Indian
Other
Household Income
Select your household income
Do you live in the India or another country?
I live in the India
I live in another country
Which of the following populations describes you ?
Veteran or active-duty military
Caregiver of someone living with emotional or physical illness
LGBTQ+
Student
Trauma survivor
New or expecting parent
Healthcare worker
Are you caring for someone with a mental or physical health condition?
Mental health condition
Physical health condition
Both mental and physical health conditions
About Your Mental Health
Have you ever received treatment/support for a mental health problem?
Yes
No
Think about your mental health test. What are the main things contributing to your mental health problems right now?
Abuse or violence
Relationship problems (friends, family, or significant other)
Body image
Low self-esteem or self-image
School or work problems
Financial problems
Loneliness or isolation
Grief or loss of someone or something
Experiencing hate/bullying (including racism, homophobia, transphobia, or discrimination)
State of the world (war, climate, politics)
I don’t know (something just feels wrong)
Other...
About Your Health
Do you currently have health insurance?
Yes
No
Do you have any of the following physical health conditions?
Heart disease
Reproductive health concerns (PCOS, endometriosis, infertility, etc.)
Diabetes
Cancer
Arthritis or other chronic pain
Asthma, COPD or other lung conditions
Movement Disorders (involuntary tics, tardive dyskinesia, etc.)
Digestive problems (Crohn’s, colitis, IBS, etc.)
Neurological conditions (epilepsy, etc.) or traumatic brain injury (TBI)
Other...
SUBMIT
Your Results
READ MORE ABOUT ANXIETY
TALK TO YOUR HEALTH COMPANION
National Suicide Prevention Lifeline (1800-121-3667) or a mental health professional.