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: Disordered Eating Questionnaire

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

Teen Disordered Eating Mini-Questionnaire : Parents/Guardians
Eating large amounts of food when not hungry
Hide/store food in strange places
Feeling guilty/ashamed after eating
Eating alone due to feelings of embarrassment
Fasting consistently for prolonged periods of time
Feeling out of control when they eat
Not wanting to eat in fear of gaining weight
Low self-worth
Strict food rituals (e.g., number of times to chew; not allowing different to touch, etc.)
Binge eating (i.e., eating large amounts of food in a 2-hour sitting)
Warned by others about weight
Dislike the way they look
Eating when sad/angry/stressed
Crave/eat carbohydrates when feeling sad
Obsess about appearance
Skip meals
Gained or lost weight recently
Intense preoccupation with eating healthy
Feelings of distress before, during, or after eating
Frequently looking in the mirror for perceived flaws in appearance