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
o
o
o
o
Excellent
Average
Somewhat poor
Poor
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.
o
o
o
o
o
I am able to adapt when changes occur.
Not at all
Rarely
Sometimes
Often
All of the time
2.
o
o
o
I can deal with whatever comes my way.
Not at all
Rarely
Sometimes
o Often
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 Often
o All of the time
4.
o
o
o
o
o
Having to cope with stress can make me stronger.
Not true at all
Rarely
Sometimes
Often
All of the time
5.
o
o
o
o
o
I tend to bounce back after illness, injury, or other hardships.
Not at all
Rarely
Sometimes
Often
All of the time
6.
o
o
o
o
o
I believe I can achieve my goals, even if there are obstacles.
Not at all
Rarely
Sometimes
Often
All of the time
7.
o
o
o
o
Under pressure, I stay focused and think clearly.
Not true at all
Rarely
Sometimes
Often
o All of the time
8.
o
o
o
o
o
I am not easily discouraged by failure.
Not at all
Rarely
Sometimes
Often
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 Often
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 Often
o All of the time
SECTION C: FAITH/RELIGIOSITY
1.
o
o
o
o
How important to you is religion or spirituality? Is it...
Very important
Somewhat important
Slightly important
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
o
o
o
o
Less than once a year
A few times a year
About once a month
Once a week
Everyday
3.
o
o
o
o
o
o
How often, if at all, do you pray or meditate?
Never
Less than once a year
A few times a year
About once a month
Once a week
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 had a life-threatening illness, such as cancer, a heart attack,
leukemia, AIDS, multiple sclerosis, and so forth?
o Never
o Once
o Twice
o Few times
4. 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
5. 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 you ever been in any other situation in which you were seriously
injured or in which you feared you might be seriously injured or killed?
o Never
o Once
o Twice
o Few times
7. 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: SOCIAL SUPPORT SCALE
1. Can you count on anyone to provide you with emotional support such as
talking over problems or helping you make a difficult decision?
o YES
o NO
o I DON’T NEED HELP.
2. In the last 12 months, who has been helpful in providing you with emotional
support?
o PARENTS
o FRIENDS
o SISTER/BROTHER
o OTHER RELATIVE.
3. In the last 12 months, could you have used more emotional support than you
received?
o YES
o NO
o DON’T KNOW
4. Is there someone you could count on to help you if you were sick, for
example, to take you to the doctor or help you with daily chores?
o YES
o NO
o YES, BUT I WOULDN’T ACCEPT IT
o DON’T KNOW
5. If you need some extra help financially, could you count on anyone to help
you, for example, by paying any bills, housing costs, medical expenses, or
providing you with food or clothes?
o YES
o NO
o YES, BUT I WOULDN’T ACCEPT IT\
o DON’T KNOW
SECTION F: SOCIAL TRUST SCALE
1. Generally speaking, would you say that most people can be trusted or that
you can’t be too careful in dealing with people?
o MOST PEOPLE CAN BE TRUSTED
o CAN’T BE TOO CAREFUL
o OTHER/DEPENDS
o DON’T KNOW
2. Do you think most people would try to take advantage of you if they got the
chance, or would they try to be fair?
o TAKE ADVANTAGE OF YOU
o TRY TO BE FAIR
o OTHER/DEPENDS
o DON’T KNOW
3. Would you say that most of the time people try to be helpful, or that they are
mostly just looking out for themselves?
o TRY TO BE HELPFUL
o JUST LOOKING OUT FOR THEMSELVES
o OTHER/DEPENDS
o DON’T KNOW
SECTION E: DEPRESSION
1. Over the last 2 weeks, how many days have you had little interest or
pleasure in doing things?
o 01-14 days
o None
o DON’T KNOW
2. 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
3. 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
4. Over the last 2 weeks, how many days have you felt tired or had little
energy?
o 01-14 days
o None
o DON’T KNOW
5. Over the last 2 weeks, how many days have you had a poor appetite or eaten
too much?
o 01-14 days
o None
o DON’T KNOW
6. 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?
o 01-14 days
o None
o DON’T KNOW
7. Over the last 2 weeks, how many days have you had trouble concentrating
on things, such as reading the newspaper or watching the TV?
o 01-14 days
o None
o DON’T KNOW
8. 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?
o 01-14 days
o None
o DON’T KNOW
SECTION G: GENERALIZED ANXIETY
DISORDER
1.
o
o
o
o
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
2.
o
o
o
o
Not being able to stop or control worrying
Not at all sure
Several days
Nearly every day
DON’T KNOW
3.
o
o
o
o
Worrying too much about different things
Not at all sure
Several days
Nearly every day
DON’T KNOW
4.
o
o
o
o
Trouble relaxing
Not at all sure
Several days
Nearly every day
DON’T KNOW
5.
o
o
o
o
Being so restless that it’s hard to sit still
Not at all sure
Several days
Nearly every day
DON’T KNOW
6. Becoming easily annoyed or irritable
o
o
o
o
Not at all sure
Several days
Nearly every day
DON’T KNOW
7.
o
o
o
o
Feeling afraid as if something awful might happen
Not at all sure
Several days
Nearly every day
DON’T KNOW