Request edit access
Student Questionnaire
Depression
What age range do you fall under?
What is your gender?
What is your ethnicity? (Check all that apply)
Are you currently attending San Diego Mesa College ?
How many hours a week do you work per week?
Do you consider yourself to be an extrovert or introverted?
From a range of 1 to 10, how confident are you with yourself?
Low Confidence
High Confidence
How many hours of sleep do you average per night?
On a scale from 1-5, how important do you think it is to exercise ?
Not Important
Very Important
How many days per week do you exercise on average?
On a scale from 1-5, how healthy do you consider your diet to be?
Not Healthy
Very healthy
Have you used any of the following drugs? (Check all the apply)
Have you ever been diagnosed with a psychological disorder? (Check all that apply)
Do you currently or have ever suffered from depression in the past?
Have you ever had suicidal thoughts?
Have you ever attempted to commit suicide?
What age range do you fall under?
What is your gender?
What is your ethnicity? (Check all that apply)
Are you currently attending San Diego Mesa College ?
How many hours a week do you work per week?
Do you consider yourself to be an extrovert or introverted?
From a range of 1 to 10, how confident are you with yourself?
Low Confidence
High Confidence
How many hours of sleep do you average per night?
On a scale from 1-5, how important do you think it is to exercise ?
Not Important
Very Important
How many days per week do you exercise on average?
On a scale from 1-5, how healthy do you consider your diet to be?
Not Healthy
Very healthy
Have you used any of the following drugs recently? (Check all the apply)
Have you ever been diagnosed with a psychological disorder? (Check all that apply)
Do you currently or have ever suffered from depression in the past?
Have you ever had suicidal thoughts?
Have you ever attempted to commit suicide?
Submit
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy