The Wellbeing Check-Up
A confidential way to reflect on your mood and overall wellbeing
Instructions: For each question below, please select one answer that best describes how often you have experienced each item over the last 2 weeks.
Have everyday activities felt less enjoyable or not as interesting?
Not at all
Several days
More than half the days
Nearly every day
Have you noticed a low mood or a sense that things feel heavier than usual?
Not at all
Several days
More than half the days
Nearly every day
Have you been hard on yourself or felt like you've let yourself or others down?
Not at all
Several days
More than half the days
Nearly every day
Have you felt unusually tired or low on energy?
Not at all
Several days
More than half the days
Nearly every day
Have your eating habits changed, perhaps eating much less or more than usual?
Not at all
Several days
More than half the days
Nearly every day
Have your sleep habits changed — trouble falling asleep, waking often, or sleeping much more than usual?
Not at all
Several days
More than half the days
Nearly every day
Has it been harder for you to concentrate, like while reading, watching shows, or following conversations?
Not at all
Several days
More than half the days
Nearly every day
Have you been noticeably slowed down, or the opposite, more fidgety or restless than usual?
Not at all
Several days
More than half the days
Nearly every day
Have you had thoughts like "things would be easier if I weren't here," or of hurting yourself?
Not at all
Several days
More than half the days
Nearly every day
Have you felt more on edge, tense, or uneasy than usual, even if there wasn't a clear reason?
Not at all
Several days
More than half the days
Nearly every day
Have your thoughts been hard to quiet, like worry looping in the background or taking over your focus?
Not at all
Several days
More than half the days
Nearly every day
Have you found yourself stuck in patterns of overthinking or worrying about many different things?
Not at all
Several days
More than half the days
Nearly every day
Have you had trouble calming down, like your mind or body just wouldn't settle?
Not at all
Several days
More than half the days
Nearly every day
Have you felt the need to move around, pace, or shift constantly because being still felt uncomfortable?
Not at all
Several days
More than half the days
Nearly every day
Have small things upset you more easily making you feel short-tempered or reactive?
Not at all
Several days
More than half the days
Nearly every day
Have you had moments where it felt like something bad might happen, even if you couldn't say why?
Not at all
Several days
More than half the days
Nearly every day
