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: Emotion Regulation Questionnaire

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

Teen Emotion Mini-Questionnaire : Parents/Guardians
Defiant towards authority figures
Acting reckless
Feeling more important than others realize
Do not require sleep for several days
Unable to recognize current emotions
Given into an aggressive urge that resulted in harm
Have unstable, unhealthy relationships
Sudden burst of confidence, lasting for at least several days
Feeling overwhelmed by/unable to control emotions
Engaging in self-mutilating, self-harm, or suicidal behaviours
Starting several projects (more than normal) and not completing them
Feeling extremely excited, like you can do anything, lasting for at least several days
Rapid fluctuations in mood
Racing thoughts and/or hurried speech, lasting for at least several days
Irritable without being provoked
Bullied others
Refusing to do what is asked
Acting in impulsive/risky behaviours that may have negative consequences (e.g., spending too much, binge drinking, substance abuse, binge eating, etc.)
Feeling like getting revenge
Burying/overlooking emotions
Afraid important people in life will leave

Section

You endorsed thoughts/feelings of hopelessness, suicidality, homicidality, and/or self-harm. Please note that you are not alone and that there is help available. For your safety/the safety of others, consider accessing the following resources if you are at imminent risk of harm to yourself or someone else:

  1. Call or text the suicide crisis helpline at 988 (available 24/7)
  2. Go to the Emergency Department at your local hospital or health centre (807-684-6100 for Thunder Bay)
  3. Call 911
  4. Contact Crisis Response: They offer mobile crisis response, crisis support residence, and 24/7 telephone services to both youth and adults who are experiencing a mental health crisis. Call or text locally at 807-346-8282 or District of Thunder Bay 1-866-888-8988
  5. Kids Help Phone: 24/7 mental health support for youth. Call 1-800-668-6868 or text 686868
  6. LGBT Youthline: Confidential, informed support and peer guidance for 2SLGBTQ+ youth. Call, text or chat at 647-694-4275 or https://www.youthline.ca/
  7. Contact Hope for Wellness Helpline: Available 24/7 to all Indigenous people across Canada for immediate support and crisis intervention. Call 1-855-242-3310 or chat online www.hopeforwellness.ca

For more information on preventing suicide, staying safe, and creating a safety plan, please read the following:

https://ontario.cmha.ca/documents/preventing-suicide/

https://www.sp-rc.ca/wp-content/uploads/2021/12/Safety_Plan_Basic.pdf

https://988.ca/

https://www.mind.org.uk/for-young-people/feelings-and-experiences/coping-with-self-harm/

https://www.youthranch.org/coping-skills-overcome-self-harmhttp://sioutreach.org

Do you wish to end the questionnaire here and contact crisis response?
The questionnaire is over. Please contact crisis response.

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