Psychosocial Risk Factors

Psychosocial Risk Factors

1. Depression

(i). Over the past 2 weeks, how often have you felt down, depressed, or hopeless? *

Almost all of the time
Most of the time
Some of the time
Almost never

(ii). Over the past 2 weeks, how often have you felt little interest or pleasure in doing things? *

Almost all of the time
Most of the time
Some of the time
Almost never

(iii). Have your feelings caused you distress or interfered with your ability to interact socially with friends? *

Yes
No

(iv). During the past 6 months, how often have you felt sad or depressed? *

Almost all of the time
Most of the time
Some of the time
Almost never

(v). In general, how satisfied are you with your life? *

Very satisfied
Satisfied
Dissatisfied
Very dissatisfied

2. High Stress

(i). How often is stress a problem for you? *

Never/rarely
Sometimes
Often
Always

(ii). How well do you handle the stress in your life? *

I am usually able to cope effectively
At times I have problems coping
I often have problems coping

3. General Well-Being

In general, would you say your health is: *

Excellent
Very good
Good
Fair
Poor

4. Social/Emotional Support

How often do you get the social and emotional support you need: *

Always
Usually
Sometimes
Rarely
Never

5. General Life Satisfaction

In general, how satisfied are you with your life? *

Very satisfied
Satisfied
Dissatisfied
Very dissatisfied

6. Sleep

How many hours of sleep do you usually get each night? *

0-1
2
3
4
5
6
7
8 or more