This free survey is powered by QUESTIONPRO.COM
  1. Surveys
  2. 2013
  3. January
  4. G
  5. GHQ-12
0%
Exit Survey »
 
 
Hello:

As you know Live At Ease is funded by the NHS and as such we have been asked if clients would complete General Health Questionnaires. It will take approximately 3 minutes to complete the questionnaire.

Your participation in this survey is completely voluntary. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Delia Hodgkiss by emailing her at: [email protected]

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
 
Have you recently been able to concentrate on whatever you’re doing?
 
0. Better than usual
 
0. Same as usual
 
1. Less than usual
 
1. Much less than usual
 
 
 
Have you recently lost much sleep over worry?
 
0. Not at all
 
0. No more than usual
 
1. Rather more than usual
 
1. Much more than usual
 
 
 
Have you recently felt that you are playing a useful part in things?
 
0. More so than usual
 
0. Same as usual
 
1. Less useful than usual
 
1. Much less useful
 
 
 
Have you recently felt capable of making decisions about things?
 
0. More so than usual
 
0. Same as usual
 
1. Less so than usual
 
1. Much less capable
 
 
 
Have you recently felt constantly under strain?
 
0. Not at all
 
0. No more than usual
 
1. Rather more than usual
 
1. Much more than usual
 
 
 
Have you recently felt you couldn’t overcome your difficulties?
 
0. Not at all
 
0. No more than usual
 
1. Rather more than usual
 
1. Much more than usual
 
 
 
Have you recently been able to enjoy your normal day-to-day activities?
 
0. More so than usual
 
0. Same as usual
 
1. Less so than usual
 
1. Much less than usual
 
 
 
Have you recently been able to face up to your problems?
 
0. More so than usual
 
0. Same as usual
 
1. Less able than usual
 
1. Much less able than usual
 
 
 
Have you recently been feeling unhappy and depressed?
 
0. Not at all
 
0. No more than usual
 
1. Rather more than usual
 
1. Much more than usual
 
Survey Software Powered by QuestionPro Survey Software