How Our Mental Health Questionnaire Can Help You

Are you interested in learning more about your child’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.

 

Sleep/Insomnia Questionnaire

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

Child Sleep/Insomnia difficulties Mini-Questionnaire : Parents/Guardians
Stay up late even when they are tired
Feel tired during the day but can't sleep at night
Hard time concentrating and remembering things because of poor sleep
Feel like they never get enough sleep
Worry about how not getting enough sleep will impact them
Wake up feeling like they didn't sleep
Missed school, work, or social activities because of poor sleep
Get frustrated because they can't fall asleep at night
Don't have a good sleep schedule
Lay awake in bed trying to sleep
Feel fatigued throughout the day
Wake up during the night or early in the morning and struggle to get back to sleep
Worry about how much sleep they are getting
Hard time falling asleep
Spend a lot of time awake in bed