Gender
Age of Participant
Do you know a relative or family member who suffers from mental illness?
Have you ever smoked or used alcohol?
Have you ever seen a professional (e.g., doctor, nurse) or spiritualist (e.g., pastor, imam) for emotional or mental health reasons or for your own personal problems, including those related to drug or alcohol use?
Have you ever seen a professional spiritualist (e.g., pastor, imam) for emotional or mental health reasons or for your own personal problems, including those related to drug or alcohol use?
Feeling down, depressed, irritable, or hopeless?
Little interest or pleasure in doing things?
Trouble falling asleep, staying asleep, or sleeping too much?
Poor appetite, weight loss, or overeating?
Feeling tired, or having little energy?
Feeling bad about yourself—or feeling that you are a failure, or that you have let yourself or your family down?
Trouble concentrating on things like school work, reading, or watching TV?
Moving or speaking so slowly that other people could have noticed?
Thoughts that you would be better off dead, or of hurting yourself in some way?
Feeling nervous, anxious or on edge
Not being able to stop or control worrying
Worrying too much about different thing
Trouble relaxing
Being so restless that it is hard to sit at one place
Becoming easily annoyed or irritable
Feeling afraid as if something terrible/bad might happen
I have felt cheerful and in good spirits
I have felt calm and relaxed
I have felt active and vigorous
I woke up feeling fresh and rested
my daily life has been filled with things that interest me
Have you ever thought about or attempted to kill yourself?
How often have you thought about killing yourself in the past year?
Have you ever told someone that you were going to commit suicide or that you might do it?
How likely is it that you will attempt suicide someday?
PHQT91 = 1 (FILTER)