Free Emotional Assessment

This is the first step to feeling well. Please fill our short anonymous questionnaire to help you better understand your emotional state.

Step 1 of 37

For whom are you doing this assessment?

Individual (for myself)

Couples (for myself and my partner)

Teen (for my child)

Are you Facing Any These Challenges?

ADHD

Abuse

Anger

Anxiety

Body image

Depression

Eating Disorder

Family

Grief/loss

Gender Identity

Insomnia

OCD

Panic Attacks

Relationship

Self-esteem

Sexuality

Stress

Trauma / PTSD

Work

Other

Feeling nervous, anxious or on edge?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Not being able to stop or control worrying?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Trouble relaxing?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Being so restless that it is hard to sit still?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Becoming easily annoyed or irritable?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Feeling afraid as if something awful might happen?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Little interest or pleasure in doing things?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Feeling down, depressed, or hopeless?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Trouble falling or staying asleep, or sleeping too much?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Feeling tired or having little energy?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Poor appetite or overeating?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Feeling bad about yourself – or that you are a failure or have let yourself or your family down?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Trouble concentrating on things, such as reading the newspaper or watching television?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Moving or speaking so slowly that other people could have noticed? Or the opposite – being so fidgety or restless that you have been moving around a lot more than usual?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Thoughts that you would be better off dead, or of hurting yourself in some way?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Feeling Stressed, burdened or hassled?

Not At All

Several Days

More Than Half the days

Nearly Everyday

Do you suffer from any of the following health conditions??

None

Hypertension

Diabetes

PCOS/PCOD

Physical pain

Weight issues

Thyroid

Others

Hidden

Couple form starts

What type of issues do you want to overcome in your relationship?

Improve our communication

Decide whether we should separate

Resolve conflicts

Overcome adultery

Understand myself better

Understand my partner better

Get to a more fair workload

Reduce tension

Prevent separation or divorce

Learn “good” ways to fight

Stop hurting each other

Win back my partner’s love

Love my partner again

Discuss issues around raising kids

Improve our sex and intimacy

Divorce or separation mediation

What gender do you most identify with?

Male

Female

Gay/Lesbian/Trans/Other

How Old Are You?

Do you Currently live with your partner

Yes

Is domestic violence currently an issue in your relationship?

Yes

Sometime

How would you rate current financial status?

Good

Fair

Bad

Would you trust this person with your life?

Not at all

Moderately

Very Much

Do you think that you could easily live without this person if your paths were to part?

Yes

Do you think about him/her regularly throughout the day, missing his/her company whenever s/he is not around?

Not at all

Moderately

Very Much

Is there a single thing about this person that irritates or annoys you from time to time?

Yes

Do both of you share a sense of humor and laugh together easily over jokes which might not seem particularly funny if someone else said them?

Not At All

Moderately

Very Much

Hidden

Couple form Ends

Hidden

Child form starts

How old is your child?

What is the gender of your child?

Male

Female

Non-Binary

How are you related to your child?

I am the mother

I am the father

I am the legal guardian

Other

Where does your child live?

With both his parents

With me only

With other parent

Other

Does your child go to school?

Yes, Regularly

Yes, but he skips some classes

Based on your Observations:

How do you rate your child current sleeping habits?

Good

Fair

Poor

How would you rate your relationship with your child?

Good

Fair

Poor

Is your child currently experiencing anxiety, panic attacks or have any phobias?

Yes

Is your child currently experiencing overwhelming sadness, grief or depression?

Yes

Over the past 2 weeks, how often have you observed that your child has been bothered by any of the following problems:

Having anger outbursts, yelling and screaming or being violent towards others.

Not at all

Several days

More than half the days

Nearly every day

Trouble Concentrating on things, such as having a conversation or watching television?

Not at all

Several days

More than half the days

Nearly every day

When was the last time your child thoughts about suicide?

Never

Over an year ago

Over 3 months ago

In the last 3 months

Do you have concerns about your child in any of these issues?

Relationship with family /peers

Coping with life changes

ADHD /ADD

School Challenges

Criminal behaviour

Substance abuse

Sexuality-related issues

Almost done! Please enter your details to get the results.

Name

Select Country(Required)

Phone Number

Hidden

Your Anxiety Score

Hidden

Your Depression Score

Hidden

Your Stress Score

Hidden

Overall Mental Health

Anxiety Level: None

Anxiety Level: Mild

Anxiety Level: Moderate

Anxiety Level: Severe

Hidden

Low Anxiety text

Hidden

Mild Anxiety text

Hidden

Moderate Anxiety text

Hidden

Severe Anxiety text

Depression Level: None

Depression Level: Mild

Depression Level: Moderate

Depression Level: Severe

Hidden

Low Depression Text

Hidden

Mild Depression Text

Hidden

Moderate Depression Text

Hidden

Severe Depression Text

Stress Level: None

Stress Level: Mild

Stress Level: Moderate

Stress Level: Severe

Hidden

Low Stress Text

Hidden

Mild Stress Text

Hidden

Moderate Stress Text

Hidden

Severe Stress Text

Overall Emotional Health : Healthy

Overall Emotional Health : Mild

Overall Emotional Health : Moderate

Overall Emotional Health : Severe

Hidden

Low Overall Text

Hidden

Mild Overall Text

Hidden

Moderate Overall Text

Hidden

Severe Overall Text

Summary

Your assessment results suggest that you have A Healthy State of Mind

Summary

Your assessment results suggest that you have Mild Emotional health issues. We suggest further evaluation by counselor or therapist.

Summary

Your assessment results suggest that you have Moderate Emotional health issues. We suggest further evaluation by counselor or therapist.

Summary

Your assessment results suggest that you have Severe Emotional health issues. We suggest further evaluation by counselor or therapist.

Hidden

Couple form Result

Hidden

Couple Score

Your assessment suggests that you have a fine relationship. We suggest further evaluation by counselor or therapist.

Your assessment suggests that you are facing Moderate Relationship issues. We suggest further evaluation by counselor or therapist.

Your assessment suggests that you are facing Severe Relationship issues. We suggest further evaluation by counselor or therapist.

Hidden

Teen form Result

Hidden

Teen Score

Your responses suggest that your child doesn’t have emotional wellbeing issues. We suggest further evaluation by counselor or therapist.

Your responses suggest that your child has moderate emotional wellbeing issues. We suggest further evaluation by counselor or therapist.

Your responses suggest that your child has severe emotional wellbeing issues. We suggest further evaluation by counselor or therapist.

More than 10,000 5-star reviews

I can text my therapist whenever I want to. He is available almost 24/7.

There are tons of stress relieving and coping exercises. They come handy when feeling low.

Free Emotional Assessment

Couple form starts

Couple form Ends

Child form starts

Anxiety Level: None

Anxiety Level: Mild

Anxiety Level: Moderate

Anxiety Level: Severe

Depression Level: None

Depression Level: Mild

Depression Level: Moderate

Depression Level: Severe

Stress Level: None

Stress Level: Mild

Stress Level: Moderate

Stress Level: Severe

Overall Emotional Health : Healthy

Overall Emotional Health : Mild

Overall Emotional Health : Moderate

Overall Emotional Health : Severe

Summary

Your assessment results suggest that you have A Healthy State of Mind

Summary

Your assessment results suggest that you have Mild Emotional health issues. We suggest further evaluation by counselor or therapist.

Summary

Your assessment results suggest that you have Moderate Emotional health issues. We suggest further evaluation by counselor or therapist.

Summary

Your assessment results suggest that you have Severe Emotional health issues. We suggest further evaluation by counselor or therapist.

Couple form Result

Your assessment suggests that you have a fine relationship. We suggest further evaluation by counselor or therapist.

Your assessment suggests that you are facing Moderate Relationship issues. We suggest further evaluation by counselor or therapist.

Your assessment suggests that you are facing Severe Relationship issues. We suggest further evaluation by counselor or therapist.

Teen form Result

Your responses suggest that your child doesn’t have emotional wellbeing issues. We suggest further evaluation by counselor or therapist.

Your responses suggest that your child has moderate emotional wellbeing issues. We suggest further evaluation by counselor or therapist.

Your responses suggest that your child has severe emotional wellbeing issues. We suggest further evaluation by counselor or therapist.

More than 10,000 5-star reviews

TherapyMantra

Programs

Company

Download Our App