MENTAL HEALTH EVALUATION
IN UNIVERSITY STUDENTS
Mental health is as important as physical health. Mental health includes
a person’s emotional, psychological, and social well-being. It affects
how a person thinks, feels, and also acts. Mental health problems can
affect many areas of students’ lives, reducing their quality of life,
academic achievement, physical health, and satisfaction with the
university experience, and negatively impacting relationships with
friends and family members. These issues can also have long-term
consequences for students, affecting their future employment, earning
potential, and overall health.
Please take a few minutes to fill out this survey on the overall status
of your mental health. This survey asks for your views about your
health. This information will help keep track of how you feel and
how well you are able to do your usual activities. If you are unsure
about how to answer a question, please give the best answer you
can. We value your feedback and your responses will be kept
confidential.
DEMOGRAPHIC INFORMATION
1. What gender do you identify as?
o Male
o Female
o Prefer not to say
2. What is your age?
o 10 – 20
o 21 – 30
o More than 30
3. What is your Qualification level?
o Bachelor’s degree
o Master’s degree
o Ph.D. or higher
4. Where are you from?
o Punjab
o Peshawar
o Sindh
o Baluchistan
o Others
5. Marital status?
o Single
o Married
o Prefer not to say
SECTION A: GENERAL HEALTH
1. Overall, how would you rate your physical health?
o Excellent
o Average
o Somewhat poor
o Poor
o Not sure
The following questions are about activities you might do during a typical day. In
the past month (4 weeks), has your health limited you in ...
2. Moderate activities such as moving a table, pushing a vacuum cleaner, or
carrying groceries. Would you say…
o limited a lot
o limited a little
o not limited at all
o DON’T KNOW
3. Climbing several flights of stairs. Would you say…
o limited a lot
o limited a little
o not limited at all
o DON’T KNOW
SECTION B: FLEXIBILITY
For each item, please indicate how much you agree with the following statements
as they apply to you over the last month. If a particular situation has not occurred
recently, answer according to how you think you would have felt.
1. I am able to adapt when changes occur.
o Not at all
o Rarely
o Sometimes
o All of the time
2. I can deal with whatever comes my way.
o Not at all
o Rarely
o Sometimes
o All of the time
3. I try to see the humorous (positive) side of things when I am faced with
problems.
o Not at all
o Rarely
o Sometimes
o All of the time
4. Having to cope with stress can make me stronger.
o Not true at all
o Rarely
o Sometimes
o All of the time
5. I tend to bounce back after illness, injury, or other hardships.
o Not at all
o Rarely
o Sometimes
o All of the time
6. I believe I can achieve my goals, even if there are obstacles.
o Not at all
o Rarely
o Sometimes
o All of the time
7. Under pressure, I stay focused and think clearly.
o Not true at all
o Rarely
o Sometimes
o All of the time
8. I am not easily discouraged by failure.
o Not at all
o Rarely
o Sometimes
o All of the time
9. I think of myself as a strong person when dealing with life's challenges and
difficulties.
o Not at all
o Rarely
o Sometimes
o All of the time
10.I am able to handle unpleasant or painful feelings like sadness, fear and
anger.
o Not true at all
o Rarely
o Sometimes
o All of the time
SECTION C: FAITH/RELIGIOSITY
1. How important to you is religion or spirituality? Is it...
o Very important
o Somewhat important
o Slightly important
o Not important at all
2. How often, if at all, do you attend church, synagogue, a mosque, or other
religious or spiritual services?
o Never
o Less than once a year
o A few times a year
o About once a month
o Once a week
o Everyday
3. How often, if at all, do you pray or meditate?
o Never
o Less than once a year
o A few times a year
o About once a month
o Once a week
o Everyday
SECTION D: TRAUMATIC EVENT SCALE
1. Have you ever been in a serious car accident, or serious accident at work or
somewhere else?
o Never
o Once
o Twice
o Few times
2. Have you ever been in a major natural disaster, such as a fire, tornado,
hurricane, flood, or earthquake?
o Never
o Once
o Twice
o Few times
3. Have you ever been attacked, beaten up, or mugged by anyone, including
friends, family members, or strangers?
o Never
o Once
o Twice
o Few times
4. As a child, were you ever physically punished or beaten by a parent,
caretaker, or teacher so that you were very frightened; or you thought you
would be injured; or you received bruises, cuts, welts, lumps, or other
injuries?
o Never
o Once
o Twice
o Few times
6. Have any close family members or friends died violently, for example, in a
serious car crash, mugging, or attack?
o Never
o Once
o Twice
o Few times
SECTION E: DEPRESSION
1. Over the last 2 weeks, how many days have you felt down, depressed or
hopeless?
o 01-14 days
o None
o DON’T KNOW
2. Over the last 2 weeks, how many days have you had trouble falling asleep or
staying asleep or sleeping too much?
o 01-14 days
o None
o DON’T KNOW
3. Over the last 2 weeks, how many days have you had a poor appetite or eaten
too much?
o
o
o
4.
o
o
o
5.
o
o
o
6.
o
o
o
01-14 days
None
DON’T KNOW
Over the last 2 weeks, how many days have you felt bad about yourself or
that you were a failure or had let yourself or your family down?
01-14 days
None
DON’T KNOW
Over the last 2 weeks, how many days have you had trouble concentrating
on things, such as reading the newspaper or watching the TV?
01-14 days
None
DON’T KNOW
Over the last 2 weeks, how many days have you had thoughts that you
would be better off dead or of hurting yourself in some way?
01-14 days
None
DON’T KNOW
SECTION F: GENERALIZED ANXIETY
DISORDER
1.
o
o
o
o
2.
o
o
o
o
3.
Over the last 2 weeks, how often have you been bothered by the following
problems?
Feeling nervous, anxious or on edge
Not at all sure
Several days
Nearly every day
DON’T KNOW
Worrying too much about different things
Not at all sure
Several days
Nearly every day
DON’T KNOW
Trouble relaxing
o
o
o
o
4.
o
o
o
o
5.
o
o
o
o
Not at all sure
Several days
Nearly every day
DON’T KNOW
Being so restless that it’s hard to sit still
Not at all sure
Several days
Nearly every day
DON’T KNOW
Becoming easily annoyed or irritable
Not at all sure
Several days
Nearly every day
DON’T KNOW
6.
o
o
o
o
Feeling afraid as if something awful might happen
Not at all sure
Several days
Nearly every day
DON’T KNOW