The questionnaire that follows can be used to see if you are having emotional, attentional, or behavioral difficulties. For each item please mark how often you:
Please note, all fields are required.
1. Complain of aches or pains
Never
Sometimes
Often
2. Spend more time alone
Never
Sometimes
Often
3. Tire easily, little energy
Never
Sometimes
Often
4. Fidgety, unable to sit still
Never
Sometimes
Often
5. Have trouble with teacher
Never
Sometimes
Often
6. Less interested in school
Never
Sometimes
Often
7. Act as if driven by motor
Never
Sometimes
Often
8. Daydream too much
Never
Sometimes
Often
9. Distract easily
Never
Sometimes
Often
10. Are afraid of new situations
Never
Sometimes
Often
11. Feel sad, unhappy
Never
Sometimes
Often
12. Are irritable, angry
Never
Sometimes
Often
13. Feel hopeless
Never
Sometimes
Often
14. Have trouble concentrating
Never
Sometimes
Often
15. Less interested in friends
Never
Sometimes
Often
16. Fight with other children
Never
Sometimes
Often
17. Absent from school
Never
Sometimes
Often
18. School grades dropping
Never
Sometimes
Often
19. Down on yourself
Never
Sometimes
Often
20. Visit doctor with doctor finding nothing wrong
Never
Sometimes
Often
21. Have trouble sleeping
Never
Sometimes
Often
22. Worry a lot
Never
Sometimes
Often
23. Want to be with parent more than before
Never
Sometimes
Often
24. Feel that you are bad
Never
Sometimes
Often
25. Take unnecessary risks
Never
Sometimes
Often
26. Get hurt frequently
Never
Sometimes
Often
27. Seem to be having less fun
Never
Sometimes
Often
28. Act younger than children your age
Never
Sometimes
Often
29. Do not listen to rules
Never
Sometimes
Often
30. Do not show feelings
Never
Sometimes
Often
31. Do not understand other people's feelings
Never
Sometimes
Often
32. Tease others
Never
Sometimes
Often
33. Blame others for your troubles
Never
Sometimes
Often
34. Take things that do not belong to you
Never
Sometimes
Often
35. Refuse to share
Never
Sometimes
Often
Do you have any emotional or behavioral problems for which you need help?
No
Yes
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 PSYCHOSOCIAL ISSUES (YOUTH MENTAL HEALTH TEST)
TALK TO YOUR HEALTH COMPANION
National Suicide Prevention Lifeline (1800-121-3667) or a mental health professional.