Free Mental Health Assessment

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About Us
Services
Shop
- Product Essentials
Resources
Testimonials
For Providers
Contact

Welcome to our Free Mental Health Assessment. Once you have completed this form we will be in touch within 48 hours with recommendations specific for you.

Welcome to our Strength Counselling Mental Health Assessment. This form will help us determine if you would be a good candidate for therapy. Please provide your email address below so we can contact you with the results

Name(Required)

First name Last name or Initial

Email (please check your spam folder if you do not receive an email from us in the next 48 hours).(Required)

Enter Email Confirm Email

Is it ok to send you a confirmation text once we've sent our email response?(Required)

Yes

If yes, please leave your phone number.

How often do take care of yourself and your needs?

Rarely

Sometimes

Often

Always

Do you ever feel that you’ve been affected by feelings of edginess, anxiety, or nerves?

Yes

Have you experienced a week or longer of lower-than-usual interest in activities that you usually enjoy? Examples might include work, exercise, or hobbies.

Yes

Are you getting enough sleep to sustain you through the day?

Yes

Have you recently experienced high stress situations? Examples might include a breakup, job loss, or overwhelming responsibilities?

Yes

How confident you have been feeling in your capabilities recently?

How satisfied are you with your present life situation?

Very Satisfied

Satisfied

Neutral

Dissatisfied

Very Dissatisfied

Other

How would you rate your relationships with family and friends?

Excellent

Good

Fair

Poor

Other

Is there anything else you would like to share with us that you think may be relevant to your mental health assessment?

Strength Counselling Services Inc.

Email: info@strengthcounselling.ca
Phone: 1 (866) 295-0551
Contact us