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Samaritan Counselling Centre Brief Adult Outcome Questionnaire

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Uploaded by: Curated by Makerble

The Samaritan Counselling Centre Brief Adult Outcome Questionnaire is used to assess mental and physical wellbeing. The survey asks 17 questions and asks the respondents to use a 5 point scale to say to what degree a certain issue affects them. It is intended to be used by adults.

Tags

Causes :

Culture, Health

Sub Causes :

communities, mental health

Identity Ratio Sets :

Age , Age , Age , Faith / Religion / Belief, Faith / Religion / Belief, Faith / Religion / Belief, Gender (3 options), Gender (3 options), Gender (3 options)

Sub Ratios :

Female, 18 - 25, Christian, Male, 25 - 40, Other, 40+, Jewish, Muslim

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Q6. How often did you feel unhappy or sad? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q7. How often did you believe in God or a higher Power? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q8. How often did you have little or no energy? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q9. How often did you have a hard time getting along with family, friends or coworkers? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q10. How often did you feel hopeless about the future? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q11. How often did you wonder what you did for God to punish you? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q12. How often did you have a hard time paying attention? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q13. How often did you feel unproductive at work or other daily activities? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q14. How often did you feel tense or nervous? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q15. How often did you avoid something because of anxiety or fear? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q16. How often did you have problems with sleep (too much or too little)? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q17. How often did you feel lonely? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q18. How often did you think about harming yourself? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q19. How often did you have someone express concerns about your alcohol or drug use? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q20. How often did you wonder whether God had abandoned you? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q21. How often did you have a problem at work, school, or home because of alcohol or drug use? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

Q22. How often did you feel good about yourself? (single choice)

Question Settings ▼ ▲

Never Hardly ever Sometimes Often Very Often

Dropdown List used: Frequency 2

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