Spring 2021 Mental Health Study
This is the form in relation to the study performed on participants by drinking incremental amounts of energy drinks that contain different levels of mood boosting chemicals. This form is managed and owned by Nathan Ming under the project title: Analysis of Anxiety and Depression in the Context of Commercially-Available Energy Beverage Consumption. Please direct any inquiries to nathanxming@gmail.com or call 408-614-4398.

PLEASE READ: This study is meant to evaluate your mental status in regards to anxious/depressive symptoms. Please follow the question and read it carefully. Answer with a 0 if consumption of the energy drink severely negatively impacted your performance in the question, or conversely with a 10 if it severely benefited your performance. Answer with a 5 for no change.

This form is subject to change. Please contact using the above email if you need to pull out of this study for any reason. While we strongly discourage this in the name of science, we understand if that is a doctor's orders.
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Day and month of your birthday (ex. 0401 for April 1st) *
Did you ingest all of your assigned drink volume this afternoon at 3:00? (If no, please still answer the questionnaire honestly based on your current condition.)
Clear selection
On a scale of 0 to 10, how much did your sleep improve or worsen?  (5 being no change).
My sleep worsened significantly.
My sleep improved significantly.
Clear selection
On a scale of 0 to 10, how much motivation did you feel in completing your homework? (5 being no change).
I felt significantly less motivation.
I felt significantly more motivation.
Clear selection
On a scale of 0 to 10, how much more or less interested were you to complete extracurricular/hobbies/activities (anything you do outside of school) in the afternoon? (5 being no change).
I felt significantly less interested.
I felt significantly more interested.
Clear selection
 On a scale of 0 to 10, how guilty do you feel? (5 being no change).
I feel significantly less guilty.
I feel significantly more guilty.
Clear selection
On a scale of 0 to 10, how fulfilled do you feel? (5 being no change).
I feel significantly less fulfilled.
I feel significantly more fulfilled.
Clear selection
On a scale of 0 to 10, how was your energy level compared to your normal? (5 being no change).
I felt significantly less energized.
I felt significantly more energized.
Clear selection
On a scale of 0 to 10, how was your concentration compared to your normal? (5 being no change).
I had significantly less concentration.
I had significantly more concentration.
Clear selection
On a scale of 0 to 10, how was your appetite compared to your normal? (5 being no change).
I had less appetite than normal.
I had more appetite than normal.
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On a scale of 0 to 10, how anxious do you feel compared to normal? (5 being no change).
I felt a lot less anxious.
I felt a lot more anxious.
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On a scale of 0 to 10, how much non-intentional movement did you have today compared to normal? (i.e. foot tapping, nervous ticks, fidgeting, etc.) (5 being no change).
I had less unconscious movement.
I had more unconscious movement.
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On a scale of 0 to 10, how much aggression did you feel towards yourself and/or others compared to normal? (5 being no change).
I felt significantly less aggression towards myself and/or others.
I felt significantly more aggression towards myself and/or others.
Clear selection
Any additional comments/questions? We would love to hear any thoughts or observations! :)
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