Mental Health Assessment (MHA) Screening
Name:
Age:
1. In the past month, how often have you felt nervous or anxious without a specific reason?
Never
Rarely
Sometimes
Often
Always
2. How frequently do you feel irritable or easily frustrated?
Never
Rarely
Sometimes
Often
Always
3. Do you find it challenging to concentrate on tasks or stay focused?
Not at all
Slightly
Moderately
Very much
Extremely
4. How often do you feel fatigued or drained of energy, even without physical activity?
Never
Rarely
Sometimes
Often
Always
5. Do you experience restlessness or find it hard to sit still due to anxiety or stress?
Never
Rarely
Sometimes
Often
Always
6. How frequently do you experience headaches, muscle tension, or body aches without a clear medical cause?
Never
Rarely
Sometimes
Often
Always
7. Do you find yourself overthinking or constantly worrying about different aspects of your life?
Never
Rarely
Sometimes
Often
Always
8. How often do you feel overwhelmed by your responsibilities or daily tasks?
Never
Rarely
Sometimes
Often
Always
9. Do you notice changes in your appetite or eating habits (eating too much or too little) due to stress?
Never
Rarely
Sometimes
Often
Always
10. How often do you feel isolated or withdrawn from social interactions?
Never
Rarely
Sometimes
Often
Always
11. Do you feel a sense of hopelessness or lack of motivation?
Never
Rarely
Sometimes
Often
Always
12. How often do you engage in relaxation activities (e.g., meditation, deep breathing, or hobbies) to manage stress?
Never
Rarely
Sometimes
Often
Always
Submit