General Mental Health Questionnaire

Question

Please enter your email^*

Nervousness or shakiness inside^*

Feeling lonely^*

Feeling easily annoyed or irritated^*

Others not giving you proper credit for your achievements^*

Spells of terror or panic^*

Feeling hopeless about the future^*

Temper outbursts that you could not control^*

Feeling that most people cannot be trusted^*

Feeling tense or keyed up^*

Feeling blue^*

Getting into frequent arguments^*

Feeling no interest in things^*

Feeling so restless you couldn’t sit still^*

Feelings of worthlessness^*

Having urges to beat, injure, or harm someone^*

Feeling that you are watched or talked about by others^*

Feeling others are to blame for most of your troubles^*

Suddenly scared for no reason^*

Feeling fearful^*

Feeling that people will take advantage of you if you let them^*

Thoughts of ending your life^*

Having urges to break or smash things^*

have you had a panic attack (sudden fear, terror, heart racing, shortness of breath, chest pain, dizziness, feeling of unreality)?^*

felt moments of sudden terror, fear or fright, sometimes out of the blue (i.e., a panic attack)^*

felt anxious, worried, or nervous about having more panic attacks^*

had thoughts of losing control, dying, going crazy, or other bad things happening because of panic attacks^*

felt a racing heart, sweaty, trouble breathing, faint, or shaky^*

felt tense muscles, felt on edge or restless, or had trouble relaxing or trouble sleeping ^*

avoided, or did not approach or enter, situations in which panic attacks might occur ^*

left situations early, or participated only minimally, because of panic attacks ^*

spent a lot of time preparing for, or procrastinating about (putting off), situations in which panic attacks might occur ^*

distracted myself to avoid thinking about panic attacks ^*

needed help to cope with panic attacks (e.g., alcohol or medication, superstitious objects, other people) ^*

I often insist that things be done exactly my way‚ and I get annoyed when other people try to ‘‘cut corners’’ or perform a job poorly.^*

I’m known to be a bit of a perfectionist or "control freak".^*

My standards for performance are extremely high‚ I’m never satisfied with ‘‘just getting the job done’’; it needs to be done very‚ very well.^*

I like to attend to details‚ rules‚ lists‚ order‚ and schedules‚ in order to ensure that everything proceeds correctly‚ without errors.^*

I can be quite stubborn‚ but it’s usually in the service of doing things the right way and not compromising my high standards.^*

My emotions are like a roller-coaster: very intense and quickly going from very high to very low.^*

Often people that I thought would be great turn out to be horrible.^*

When I’m really stressed‚ I sometimes start to feel strange‚ weird‚ or paranoid (as if the whole world is against me).^*

I sometimes feel so desperate or awful that I have thoughts of wanting to harm or even kill myself.^*

My relationships are usually extremely intense‚ stormy‚ emotional‚ and unstable.^*

I often get so angry or even hateful that I hardly recognize myself later.^*

I get panicky or desperate when I think someone close will leave me or abandon me.^*

I often feel empty inside: not sure who I am or where I’m going with my life.^*

If something upsets me‚ my emotions can get out of control rather easily.^*

I often do things for a kick or a thrill even though I know they may be self-damaging (e.g.‚ ha‎ving sex with people I hardly know‚ doing drugs‚ getting extremely drunk).^*

A life-threatening situation?^*

Witnessing violence or serious injury?^*

The sudden death of someone close to you due to a terrible accident or act of violence?^*

Sexual violence?^*

Repeated, disturbing, and unwanted memories of the stressful experience? ^*

Repeated, disturbing dreams of the stressful experience? ^*

Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?^*

Feeling very upset when something reminded you of the stressful experience? ^*

Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)? ^*

Avoiding memories, thoughts, or feelings related to the stressful experience? ^*

Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)? ^*

Trouble remembering important parts of the stressful experience? ^*

Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)? ^*

Blaming yourself or someone else for the stressful experience or what happened after it? ^*

Having strong negative feelings such as fear, horror, anger, guilt, or shame? ^*

Loss of interest in activities that you used to enjoy? ^*

Feeling distant or cut off from other people? ^*

Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)? ^*

Irritable behavior, angry outbursts, or acting aggressively? ^*

Taking too many risks or doing things that could cause you harm? ^*

Being “superalert” or watchful or on guard? ^*

Feeling jumpy or easily startled? ^*

Having difficulty concentrating? ^*

Trouble falling or staying asleep? ^*

I have eating binges where I eat abnormally large amounts of food, far more than a person would normally eat. ^*

During these eating binges I feel that my eating is out of control.^*

After these eating binges I sometimes make myself vomit.^*

On average, I have been doing this (eating and vomiting) twice a week or more.^*

This eating and vomiting has been going on for three months or longer.^*

Would you say Food dominates your life?^*

Are you satisfied with your eating patterns?^*

Do you ever eat in secret?^*