Mental Health and Spirituality Level Self-Report Questionnaire

This questionnaire is a part of a research study that aims to investigate the inter-relation between mental health , level of connectedness with people, environment and/or sprituality amongst university students.

Please fill the answers carefully to the best of your understanding as it will impact your personalized scores.

Informed Consent

Please note the following before providing your consent to participate in this survey:

  • Participation involves completing an online survey of approximately 7-10 minutes.
  • The survey is anonymous, and no personal identifiers will be used for research.
  • Your participation is entirely voluntary, and you can choose to withdraw at any time without penalty or loss of benefits.
  • All responses will be kept confidential and anonymous. Data will be securely stored and accessible only to the researcher and supervisor.
  • All data collected will be fully anonymized to protect participant confidentiality. No personally identifiable information will be recorded, and data will not be shared with any third-party entities.

Risks and Benefits

Risks: While the survey involves questions on mental health, which may cause emotional discomfort, there are no significant risks to participating in this study.

Benefits: While you will not receive direct benefits, your participation will contribute to valuable insights into the mental health impacts of positive coping mechanisms on mental health. Participants will also get a detailed mental health and resilience score for their personal reference at the end of the survey.




Personal Details

Sadness Levels - How do you relate to the statements given below (over the past three months)

Statement Never Sometimes Often Mostly
I couldn't seem to experience any positive feeling
I found it difficult to work up the initiative to do things.
I felt that I had nothing to look forward to.
I felt down-hearted and blue
I was unable to become enthusiastic about anything.
I felt I wasn't worth much as a person.
I felt that life was meaningless

Anxiety Levels - How do you relate to the statements given below (over the past three months)

Statement Never Sometimes Often Mostly
I was aware of the dryness of my mouth.
I experienced breathing difficulty (e.g., excessively rapid breathing, breathlessness in the absence of physical exertion).
I experienced trembling (e.g., in the hands).
I was worried about situations in which I might panic and make a fool of myself.
I felt I was close to panic.
I was aware of the action of my heart in the absence of physical exertion (e.g., sense of heart rate increase, heart missing a beat).
I felt scared without any good reason.

Stress Levels - How strongly do you relate to the statements given below (in the past one month)

Statement Never Sometimes Often Mostly
I found it hard to finish my tasks.
I tended to over-react to situations.
I felt that I was feeling very nervous.
I found myself getting agitated.
I found it difficult to relax.
I was intolerant of anything that kept me from getting on with what I was doing.
I felt that I was rather touchy.

Coping Mechanisms - How do you deal with your stress?

Statement Rarely Sometimes Often Mostly
I've been turning to work or other activities to take my mind off things.
I've been giving up the attempt to cope.
I've been saying to myself 'this isn't real.'
I've been using alcohol or other drugs to make myself feel better.
I've been looking for something good in what is happening.
I've been taking action to try to make the situation better.
I've been concentrating my efforts on doing something about the situation I'm in.
I've been getting help and advice from other people.
I've been getting emotional support from others.
I've been trying to find comfort in my religion or spiritual beliefs.
I've been learning to live with it.
I've been making jokes about the situation.
I've been trying to see it in a different light, to make it seem more positive.
I've been criticizing myself.

Connection with others, environment, and universe

Statement Rarely Sometimes Often Mostly Always
I feel a deep sense of connection with a higher power or the universe.
I often feel a sense of harmony or oneness with the world or the people around me.
I engage in practices that nurture me (e.g., prayer, meditation, reflection).
My spiritual practices help me feel calm and at peace.
I experience moments of transcendence or profound insight.
I find comfort and strength in my spiritual beliefs during difficult times.
My beliefs or values inspire me to contribute positively to the lives of others or society.
I strive to live in alignment with principles that reflect my deepest sense of what is meaningful.

Results

SADNESS SCORE ()

ANXIETY SCORE ()

STRESS SCORE ()

CONNECTEDNESS / SPIRITUALITY SCORE ()

Your Coping Mechanism

Problem-Focused Coping: %

Emotion-Focused Coping: %

Avoidant Coping: %

Thank you for completing the assessment.

Disclaimer: Please note this is not a medical diagnosis. If you are struggling with any mental health concern please contact your nearest mental healthcare provider or your university/college counselor.