How Our Mental Health Questionnaire Can Help You

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

Please note: this questionnaire was developed by Sullivan + Associates Clinical Psychology to provide a general overview of how much a particular problem or mental health issue impacts you. It is not meant to be diagnostic or replace a formal mental health assessment by a health care practitioner (i.e. Psychologist, Psychiatrist, etc.). However, feel free to use it as a starting point towards learning about improving a particular problem or mental health issue. If you choose to pursue psychotherapy/counselling or discuss your mental health with your Physician or Nurse Practitioner, sharing your results from this questionnaire would provide valuable information.

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.

Child Body Image Questionnaire

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

Child Body Image Mini-Questionnaire : Parents/Guardians
Compare their appearance to others and feel worse about themself
Afraid of getting fat
Try hard to change how they look
Have excessively dieted/exercised to change their body
Ashamed of how they look
Want cosmetic surgery to change their appearance
Repeatedly check their body for flaws or changes
Think negatively about their body/appearance
Get stuck thinking about problems they have with their appearance
How they feel about appearance affects their mood or self-esteem
Ask other people if they look okay
Avoid mirrors or photos because of how they look
People say they care too much about how they look
Wish their body looked different
Wear makeup/clothes to hide what they look like