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Purdue Student Mental Health
Please take a few minutes to fill out this survey on the overall status of your mental health. We value your feedback and your responses will be kept confidential. Thank you for your input.
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Year
Freshman
Sophomore
Junior
Senior
Graduate Student
Other:
Clear selection
I live:
Residence Hall
Congregate Housing (Fraternity, Sorority, Cooperative)
Off-Campus
Clear selection
During the past 6 weeks, have you had any problems with your work or daily life due to your physical health?
Yes
No
I don't know
Clear selection
During the past 6 weeks, have you had any problems with your work or daily life due to any emotional problems, such as feeling depressed, sad or anxious?
Yes
No
I don't know
Clear selection
Overall how would you rate your mental health?
Extremely Poor
1
2
3
4
5
Excellent
Clear selection
Have you felt particularly low or down for more than 2 weeks in a row?
Very Often
Somewhat Often
Neutral
Not so often
Not often at all
Clear selection
During the past two weeks, how often has your mental health interfered with your ability to get work done or accomplish tasks?
Very often
Somewhat often
Neutral
Not so often
Not often at all
Clear selection
During the past two weeks, how often has your mental health interfered with your personal relationships?
Very often
Somewhat often
Neutral
Not so often
Not often at all
Clear selection
How often do you feel positive about your life?
Always
Often
Sometimes
Rarely
Never
Clear selection
Has your current access to mental health resources at Purdue affected your decision to return to campus next semester?
Current mental health resources have made me more likely to return to campus in the spring
Current mental health resources have made me less likely to return to campus in the spring
Current mental health resources will not affect my decision to return to campus
Clear selection
How has your current mental health state affected your decision to return to campus next semester?
My current mental health state has made me more likely to return to campus in the spring
My current mental health state has made me less likely to return to campus in the spring
My mental health will not affect my decision to return to campus
Clear selection
How would you compare your mental health this year versus fall semester last year? (N/A for Freshman)
Much Worse
1
2
3
4
5
Much Better
Clear selection
Is there anything else you would like to share?
Your answer
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