How Our Mental Health Questionnaire Can Help You

Are you interested in learning more about your teen’s current mental health status? Take our brief questionnaire!

Please note: This questionnaire is a brief screening tool developed by mental health professionals at Sullivan + Associates Clinical Psychology. It is not intended for diagnostic purposes or to replace a formal mental health assessment. However, feel free to use it for personal interest and/or as a starting point towards improving your teen’s mental health and wellbeing. You may also want to share this information with your teen and/or the health professionals in their circle of care if you are concerned about their mental health.

Benefits of Taking our Mental Health Questionnaire

  • Easy to Do – It’s a rating scale style questionnaire. Just click on the selection that best describes you.
  • Confidential – Your responses and results are 100% confidential.
  • Direction – Suggests helpful next steps, such as suggestions for resources and services based on your responses.
  • Cost Effective – It’s free to use as many times as you want.
  • Quick to Use – It takes approximately 5-10 minutes to complete the test.
  • Immediate Results – You will receive your results immediately upon completing the test.
  • Free Report – If you enter your email address, you will receive a copy of your results. If you chose to provide your email address, your responses and results will remain 100% confidential.
  • Anonymous – You don’t need to provide any identifying information to complete the test.

Parents/Guardians of Teens: Anxiety Questionnaire

Answer each question, then click submit to see your results.

Teen Anxiety Mini-Questionnaire : Parents/Guardians
Feeling restless or tense
Fear of being embarrassed in public
Difficulty breathing
Avoiding situations that cause anxiety/panic
Worried that something bad will happen to loved ones
Nausea or stomach aches unrelated to a known physical health issue
Sweating more than usual
Upsetting thoughts that don’t go away
Feeling shaky, dizzy, or unsteady
Avoiding leaving the house or feeling anxious when doing so
Persistent, lasting thought or impulse that needs to be repeated over and over, which causes distress if not followed through
Heart palpitations and/or increased heart rate
Difficulty relaxing
Repetitive behaviours done to control anxious worries that interfere with normal routines and daily functioning (e.g., counting, checking, washing hands/cleaning, continuously challenging intrusive thoughts, or maintaining a rigid schedule of activities)
Worrying about everything, even little stressors
Feeling of losing control
Worries about things that may/may not be realistic
Tension headaches or migraines unrelated to a known physical health issue
Avoiding specific people, places, and/or things that cause anxiety (e.g., crowds, presentations, dogs, etc.)
Difficulty controlling anxiety/worry
Feeling on edge
Panic attacks – sudden and intense emotional and physical anxiety reaction (e.g., suddenly shaking, nauseous, sweating, dizzy, feeling as if you are having a heart attack or dying)
Worried about being judged by others

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