Mental Health Survey

This brief questionnaire helps assess symptoms of depression or anxiety. Answer honestly to get personalized insights.

A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.

Question 1 of 5:
Do you often feel down, depressed, or hopeless?

Yes No

Feeling down or hopeless can be difficult to manage alone, but you don’t have to. Support is available, and you deserve to feel better.

Question 2 of 5:
Do you find little interest or pleasure in doing things you used to enjoy?

Yes No

Losing interest in activities is a common symptom of depression. Identifying these patterns is the first step toward improvement.

Question 3 of 5:
Have you been sleeping too much or too little recently despite trying to stay consistent?

Yes No

Changes in sleep habits often accompany mental health challenges. Finding the right balance can help restore your energy and focus.

Question 4 of 5:
Do you feel fatigued or lack energy, even after adequate rest?

Yes No

Low energy levels can affect your ability to enjoy life fully. Identifying the cause is key to moving forward.

Question 5 of 5:
Do you feel anxious, restless, or on edge most of the time?

Yes No

Anxiety can feel overwhelming, but it’s manageable with the right support. Let’s explore your options.

Yes answers

Contact PracticeRx

Contact PracticeRx today for your initial consultation, and let’s see if we’re the right fit to take control your healthcare together.

15170 Hayden Rd
Scottsdale, AZ 85260