Wellbeing Check-In (Private)

Your wellbeing check-in

A short set of questions to help us understand how you have been feeling lately. Answer as honestly as you can. There are no right or wrong answers, and you can skip anything that does not fit.

Your privacy. Nothing you type here is saved, sent, or recorded anywhere. Everything stays on this device and disappears the moment you close or refresh the page. If you would like to keep a copy or bring it to your session, use Save as PDF at the bottom once you have finished.

Part 1 · Mood

Patient Health Questionnaire (PHQ-9)

Over the last 2 weeks

How often have you been bothered by any of the following problems?

Part 2 · Worry and anxiety

Generalised Anxiety Disorder scale (GAD-7)

Over the last 2 weeks

How often have you been bothered by the following problems?

Part 3 · Sleep

Insomnia Severity Index (ISI)

Over the last 2 weeks

Part 4 · Wellbeing

WHO-5 Wellbeing Index

Over the last 2 weeks

Please say how much of the time each statement has applied to you.

A note on what these are. These are widely used screening questionnaires, not a diagnosis. They give us a shared starting point for a conversation. What matters most is what they mean for you, and we will make sense of them together.

Sources. PHQ-9 and GAD-7: Spitzer, Kroenke & Williams (Pfizer Inc.), freely available for use. ISI: Morin, C.M. (1993, 2011), Insomnia Severity Index. WHO-5: World Health Organization, Psychiatric Research Unit (1998), free to reproduce with acknowledgement.

Lightfull Psychology · Dr. Ong Mian Li · For personal reflection and clinical discussion only.