March 21, 2010 7:50pm

Mental Health Screening Questionnaire

The following two questionnaires are provided to help you find out if you might benefit from speaking to a therapist. If the statements in the first questionnaire ring true, or if you answer "yes" to any of the questions in the second questionnaire and you would like to talk to someone, please call the number listed at the end of the appropriate questionnaire.

Mental Health (anxiety, depression, other concerns)

Substance Abuse (drinking, drugging)


Mental Health Screening Questionnaire

  • I often feel sad.
  • I often feel anxious and worried.
  • I feel unable or afraid to do things I want to do.
  • My relationships just don't seem to be working out.
  • I sometimes burst into tears.
  • I sometimes can't keep my thoughts straight or concentrate.
  • I sometimes can't control how angry I get.
  • I sometimes find myself "racing around."
  • Sometimes people just don't understand what I am going through.
  • Sometimes people worry about me.

If any of the above statements seems "on target" for you, call (914) 366-3600 to see if setting an appointment to speak to a therapist would be right for you.

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Substance Abuse Screening Questionnaire

  • Have you ever felt you ought to cut down on your drinking or drugging?
  • Have people annoyed you by criticizing your drinking or drugging?
  • Have you ever felt bad or guilty about your drinking or drugging?
  • Have you ever had an eye-opener to steady your nerves in the morning?

If you answered "yes" to any of these questions, call (914) 631-3133 to see if setting an appointment to speak to a therapist would be right for you.

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