Champion Minds Mental Health Survey
Credit to: The International Olympic Sports Mental Health Assessment


Note: Please take this seriously
*Your answers will not be shared publicly and are anonymous to the public.
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What sport do you play? *
What is your age?
Please use simple numbers; Ex. 12, 15, 17.
If you would like to disclose, what is your gender? *
Have you ever felt as if you couldn't handle the stress and pressure of being a student-athlete? Balancing academics, athletics, and your social life? *
Screening 1: Anxiety
1. It is difficult to be around teammates.
Clear selection
2. I find it difficult to finish my daily tasks.
Clear selection
3. I feel less motivated.
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4. I was angry, aggressive, or irritable.
Clear selection
5. I can't stop worrying about my performance and injuries.
Clear selection
6. I found training stressful.
Clear selection
7. I found it hard to cope with selection pressures.
Clear selection
8. I worry about life after sports.
Clear selection
9. I needed substances to relax (ex. drugs, alcohol, medication).
Clear selection
10. I took unusual risks outside of my academic and athletic life.
Clear selection
Screening 2: Problems
While your sport is in-season, how often have you been bothered by any of the following problems?
Screening 3: Sleep Habits
What is your typical sleep habits when your sport is in-season?
Clear selection
Check any of the boxes that apply.
Screening 4: Eating Habits and Body Image
I feel extremely guilty after overeating.
Clear selection
I am thinking about the desire to be thinner.
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I think my stomach is too big.
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I feel satisfied with the shape of my body.
Clear selection
My parents expect excellence in everything from me.
Clear selection
I try very hard to avoid disappointing my parents and teachers.
Clear selection
I am insecure about my body and try to hide it in public.
Clear selection
Are you trying to lose weight?
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Have you tried to lose weight?
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If yes, how many times have you tried to lose weight?
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Screening 5: Team Sport Athelete Specific
Have you ever felt frustrated because your team isn't playing well?
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Have you ever lashed out at a teammate for something they did?
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Has a teammate ever lashed out at you for something you did?
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Have you ever noticed your teammate(s) looking disappointed or sad after being lashed out at?
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Would you say your team environment is more positive or negative?
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Do you feel your coach/coaches favorite particular players? What are some of the reasosns?
When you feel down, how often is your team there to pick you up?
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Do you feel like you can bring important matters outside of just sports to your team?
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Do you feel included in your team?
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Does your team's mood depend solely on how you all perform?
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Rate how much you enjoy being with/apart of your team.
I don't enjoy it at all.
I love being around my team!
Clear selection
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