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 questio...
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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 |
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