Samaritan Counselling Centre Brief Adult Outcome Questionnaire
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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 :
Sub Causes :
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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*Q1.
What’s been happening? Share a relaxed anecdote, case study or recent success.
*Q2.
Date the activity actually happened
Q3.
Location (Text)
*Q4.
Add attachments
*Q5.
Change update's privacy
Q6.
How often did you feel unhappy or sad? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q7.
How often did you believe in God or a higher Power? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q8.
How often did you have little or no energy? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q9.
How often did you have a hard time getting along with family, friends or coworkers? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q10.
How often did you feel hopeless about the future? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q11.
How often did you wonder what you did for God to punish you? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q12.
How often did you have a hard time paying attention? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q13.
How often did you feel unproductive at work or other daily activities? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q14.
How often did you feel tense or nervous? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q15.
How often did you avoid something because of anxiety or fear? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q16.
How often did you have problems with sleep (too much or too little)? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q17.
How often did you feel lonely? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q18.
How often did you think about harming yourself? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q19.
How often did you have someone express concerns about your alcohol or drug use? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q20.
How often did you wonder whether God had abandoned you? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q21.
How often did you have a problem at work, school, or home because of alcohol or drug use? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
Q22.
How often did you feel good about yourself? (single choice)
| Never | Hardly ever | Sometimes | Often | Very Often |
