No. 1/5
What are your feelings when you rise in the morning?
Exhausted
Anxious
Neutral
Energized
No. 2/5
How would you characterize your typical mood?
Hopeless
On edge
Neutral
Positive
No. 3/5
How do you respond to social interactions?
Avoid them
Feel irritated
Enjoy sometimes
Love being around people
No. 4/5
How do you find rest at night?
Can’t sleep at all
Wake up frequently
Sleep okay
Sleep peacefully
No. 5/5
How do you manage everyday difficulties?
Overwhelmed
Frustrated
Manageable
Confident