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Mental Health Needs Assessment 

We invite you to participate in our Mental Health Needs Assessment Survey. As future healthcare providers, your mental well-being is of paramount importance. This survey is designed to identify the specific mental health needs and challenges faced by medical students. 

By completing this questionnaire, you will help us develop targeted programs that provide the necessary support and resources to enhance your mental health and well-being. Your input is invaluable, and we assure you that all responses will be kept confidential. The sets of programs we bring it for you would be supported by Nelis Nepal.

This form consists of total 28 questions. We expect serious participation from your side. 

Thank you for your time and contribution to this important initiative.

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Email *
Gender: *
Name of your Educational Institution:  *
Year of study: *
Are you an international student?  *

1. How would you rate your knowledge about mental health issues?

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Very poor
Excellent
2. Have you received any formal training or education on mental health during your medical studies?
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3. How capable are you in identifying signs of mental health issues in yourself or others?
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Not capable
Extremely capable
4. If a fellow student or friend shared about their mental health struggles to you, how likely are you to encourage them to seek professional help?
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Very unlikely
Very likely
5. Have you ever provided support to someone experiencing mental health difficulties?
*
6. Do you believe that improving mental health care access and support services for medical students can enhance their academic and clinical performance?
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Strongly disagree
Strongly agree
7. What do you believe are the most significant challenges faced by medical students? (Select all that apply)
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Required

8. In your opinion, what are the most common mental health issues faced by medical students? (Select all that apply)

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Required
9. How often do you think medical students experience burnout during their studies?
*
10. On a scale of 1 to 10, how would you rate your overall academic stress? (1 being no stress, 10 being extremely high stress)
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No stress
Extremely high stress
11. How often do you feel overwhelmed by your academic workload?
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12. How often do you feel overwhelmed by your clinical responsibilities?
*

13. Do you feel that the academic pressure negatively affects your mental health?

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14. Are you aware of the mental health resources available at your institution?
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15. How effective do you think the current mental health support programs at your institution are?

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16. Do you feel comfortable seeking mental health support at your institution?
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17. What type of program do you recommend for promotion and prevention of mental health and psychological wellbeing in your institution?

18. Have you ever hesitated to seek mental health care due to concerns about confidentiality or stigma?

Clear selection

19. In the past month, how often have you felt anxious or nervous?

*

20. In the past month, how often have you felt depressed or hopeless?

*
21. How do you typically cope with stress? (Select all that apply)
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Required
22. Do you have a support system in place for times when you feel overwhelmed?
*

23. Have you ever utilized any mental health resources provided by your institution?

*

24. If yes, how satisfied were you with the support you received?

Clear selection
25. What barriers, if any, prevent you from accessing mental health care? (Select all that apply)

26. What type of mental health resources do you think would be most beneficial for medical students? (Select all that apply)

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Required
27. What types of programs do you think would be most effective in addressing the mental health needs of medical students? (Select all that apply)
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Required
28. What suggestions do you have for improving mental health support for medical students at your institution?
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