Take the First Step Privately
This is not a diagnosis. It helps our team understand what kind of support may be useful before we reach out.
Who is this screening for?
What are the main concerns?
Select all that apply
Over the last 2 weeks, how often have you experienced the following? There are no right or wrong answers.
Little interest or pleasure in doing things
Feeling down, depressed, or hopeless
Trouble falling or staying asleep, or sleeping too much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself or that you have let people down
Trouble concentrating on work, school, reading, or media
Moving or speaking slowly, or being unusually restless
Thoughts that you would be better off dead or of hurting yourself
Feeling nervous, anxious, or on edge
Not being able to stop or control worrying
Worrying too much about different things
Trouble relaxing
Being so restless that it is hard to sit still
Becoming easily annoyed or irritable
Feeling afraid as if something awful might happen
These questions help us understand if focus or attention might be playing a role. Answer honestly — this is just a starting point.
Trouble wrapping up final details once the challenging part is done
Difficulty getting things in order when a task requires organization
Problems remembering appointments, obligations, or important tasks
Avoiding or delaying tasks that require a lot of thought
Fidgeting or squirming when expected to sit still
Feeling overly active, restless, or driven to keep moving
Sleep problems are affecting daily life
Alcohol or substance use is becoming a concern
Past traumatic events still feel distressing or intrusive
Panic attacks or sudden intense fear are happening
Let us know how to reach you. Your details stay confidential.
You’ve completed every section. Confirm consent below and submit — we’ll share what your responses suggest right after.