Student Mental Health Survey
Your Desi Helpline is conducting this informal survey to better understand the mental and
emotional well being of the South Asian student population aged 12-19. This is not a formal academic research study, and it has no IRB approval. All data from the survey will be kept secure and confidential. For additional information about Your Desi Helpline and mental health resources please visit http://www.yourdesihelpline.com.

The information from the survey will only be used by Your Desi Helpline to identify the mental health support needs of the surveyed demographic. No personal identifiable information will be disclosed when information is shared to educate the community and key stakeholders interested in and supporting the mental health of young South Asians.

The survey takes approximately 5-7 minutes to complete, we appreciate your contribution. Completion of the survey does not automatically provide access to counseling services. However, completion of the survey may trigger some pre-existing psychological or emotional stress. To find out more about mental health issues, please visit https://www.nimh.nih.gov/, https://nami.org/Home or https://yourdesihelpline.com. If you need mental health support, please contact: The 24/7 Georgia Crisis Access Line (GCAL) 1-800-715-4225.  
Please select which South Asian heritage you identify with.
Please identify your age.
Clear selection
Where do you live? Please select which applies from the menu.
What age did you come to the USA?
Clear selection
How concerned are you about your mental and emotional well being?
Very Happy, No Concerns
Unhappy, Very Concerned
Clear selection
How much of your life and daily tasks are impacted by your stressors?
Not Impacted
Highly Impacted
Clear selection
How would you rate your general disposition?
Generally Pessimistic and Anxious
Generally Optimistic and Relaxed
Clear selection
What are the stressors in your life? Please select all stressors that apply and rate the stressors selected in order of importance with 1 being the most important. Please scroll to the right at the bottom to view all the stressor options.
School and Academics
Peer Relationships
Teachers and Adult Relationships
Parent or Family Relationships
Identity and Cultural Conflicts
Romantic Relationships
Drug Use
Bullying
Eating Disorder
Mental Health
Other
Biggest Stressor #1
2
3
4
5
6
7
8
9
10
11
If you selected "Other" please elaborate on what it is.
Academics and School
How important are grades to you ?
Not Important
Very Important
Clear selection
How well are you performing academically?
Struggling, Not Meeting Expectations
Doing Very Well, Meeting Expectations
Clear selection
How much are you affected by peer pressure?
Not at All
Very Much
Clear selection
How happy are you at your school?
Not Happy
Very Happy
Clear selection
How ethnically diverse is your school population?
Not Diverse
Very Diverse
Clear selection
How well is your South Asian culture respected and represented in your school?
Not at All
Very Well
Clear selection
What concerns do you have about your school? Please rate your concerns selected in order with 1 being the most concerning. Please scroll to the right at the bottom to view all stressor options.
Workload
Bullying
Drugs/Substance Misuse
Curriculum Choices
School Size
Diversity of Population, Demographics of the School
Other
Most Concerning #1
2
3
4
5
6
7
If you selected "Other", please elaborate on what it is.
Peer Relationships and Bullying
How happy are you with your peer relationships?
Very Unhappy, Lonely and Excluded
Very Happy, Thriving
Clear selection
What is your experience of bullying from peers? Please select all that apply.
If you have been bullied, please select all that apply.
Teachers and Adult Relationships
 How well do you get along with the teachers at your school?
Very Poorly
Very Well
Clear selection
Have you experienced bullying from teachers in school? Please select all that apply.
If you have been bullied, please select all that apply.
 How well do you get along with the adults outside of school at your religious groups, sports team, and etc.
Very Poorly
Very Well
Clear selection
 Have you experienced bullying from adults outside of school in your community? Please select all that apply.
If you have been bullied, please select all that apply.
Parent Relationships
How would you rate the quality of your relationship with your parents?
Poor, Lots of Conflict
Very Good, Well Supported
Clear selection
How happy are you with the communication between you and your parents?
Not Happy
Very Happy
Clear selection
How well do your parents understand your life and your problems?
Not at All
Very Well
Clear selection
How involved are your parents in your life? Select all that applies.
What are the areas of conflict in your relationship with your parents? Select all that applies.
Drug Use
What is your experience with drugs?  Select all that applies.
How knowledgeable are you about the effects of the drugs you use?
Unaware of the Risks
I Understand the Risks and Benefits
Clear selection
How do you feel about your drug use?
Clear selection
If you have used drugs or are using drugs, how often is your use? Please select all that apply.
What are your reasons for using drugs? Please select all that applies.
What adverse effects have you experienced when using drugs? Select all that apply.
Would you like to receive help in addressing your drug use?
Clear selection
Romantic Relationships
Are you in a committed romantic relationship?
Clear selection
How happy are you in your relationship?
Unhappy
Very Happy
Clear selection
What are your romantic relationship experiences? Select all that applies.
How sexually active are you?
Clear selection
Cultural and Sexual Identity
How do you identify your gender?
Clear selection
How comfortable are you in expressing your gender in your day to day life?
Uncomfortable, Living Hidden
Comfortable, Openly Living
Clear selection
How do you identify your sexuality?
Clear selection
How comfortable are you in expressing your sexuality in your day to day life?
Uncomfortable, Living Hidden
Comfortable, Openly Living
Clear selection
If you identify other than cisgender heterosexual, how do your parents feel about your identity. Select all that apply.
Which culture best defines your core values?
Clear selection
How comfortable are you living within your South Asian identity?
Not Comfortable, Feel Out of Place
Very Comfortable, No Issues
Clear selection
How diverse is your friendship network? Select all that apply.
Relationship to Food
How do you feel about your relationship to food? Select all that applies.
If you are concerned about your relationship to food and eating habits, please select all that apply.
What stressors are related to your unhealthy eating? Select all that apply.
Are others aware of the problems you have with your relationship to food? Select all that apply.
Would you be interested in getting help to address your food issues?
Clear selection
Home Life
How would you describe your family unit?
Clear selection
What stressors do you experience at home? Select all that apply.
Clear selection
What is the social support network of your family? Please select all that apply.
How integrated is your family  into American life?
Mental Health
How concerned are you about mental health issues amongst your peer group?
Not Concerned
Very Worried
Clear selection
Rate your overall mental well-being over the last two weeks.
Feel Very Low
Feel Well, In Good Spirits
Clear selection
What factors are impacting your mental health? Please select all that apply.
What do you do to make yourself feel better? Please select all that apply.
How do your stressors impact you? Select all that apply.
Please write anything you would like to add to this survey about your mental status and health. You can include suggestions, elaborations on the questions above, or etc.
Thank you for taking the time to complete this survey, you have provided much needed important information that will contribute towards better supporting the South Asian youth population.                                                                                                                                                        
To find out more about mental health issues, please visit https://www.nimh.nih.gov/, https://nami.org/Home  or https://yourdesihelpline.com. If you need mental health support, please call or you may text The 24/7 Georgia Crisis Access Line (GCAL) 1-800-715-4225.                                                                                                                                                                                                                                                                          
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