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Seasonal Affective Disorder & Depression Survey
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💡 This form is mostly multiple choice and shouldn't take more than 5 mins to complete.
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* Indicates required question
1. Do you experience symptoms of Seasonal Affective Disorder?
*
e.g. low mood, apathy, fatigue, irritability, despair, etc. as a result of a change in the season, temperature, or weather.
Yes
No
2. Which other mental health condition(s) or disorder(s) do you live with?
*
Anxiety
Bipolar Mood Disorder
Body dysmorphic disorder
Borderline Personality Disorder
CPTSD
Depression
Eating Disorders
OCD
Personality disorder
Premenstrual dysphoric disorder
PTSD
Schizophrenia
Other:
Required
3. Which symptoms of SAD do you typically experience?
*
Being more withdrawn from social activities
Loss of interest in hobbies or decline in performance at work of school
Frequent and extreme mood swings
Neglecting self-care
Unexplained physical symptoms i.e. headaches, stomach aches, fatigue
Increased or excessive use of alcohol or drugs to cope with emotional pain
Frequent expression of hopelessness"
Increased Fatigue or Overwhelm
Other:
Required
4. Does SAD make your other Mental Health conditions or disorders more difficult to manage?
*
Yes
No
Other:
5. How disruptive is SAD in terms of how you manage your mental health?
*
Not disruptive
1
2
3
4
5
Very disruptive
6. SAD has the following impact on my ability to manage my mental health.
*
Makes it harder to adhere to treatments or medications
Makes it harder to maintain a routine that's good for my mental health
Makes my existing symptoms more severe
Causes me to experience new/seasonal symptoms
Has no impact on how I manage my mental health
Other:
Required
7. Do you feel that you receive the level of support that you need to manage SAD?
*
Not at all
1
2
3
4
5
Very much
8. Do you feel your SAD is taken seriously by your friends and family?
*
Not at all
1
2
3
4
5
Very much
9. Do you feel your SAD is taken seriously by your employer?
*
Not at all
1
2
3
4
5
Very much
10. Do you feel your SAD is taken seriously by your healthcare provider?
*
Not at all
1
2
3
4
5
Very much
12. Is there anything that helps you to manage SAD?
*
Light therapy
CBT
Change in Diet
Change in Exercise
Change in Sleep habits
Medication
Stress Management
Talk therapy / Counseling
Other:
Required
13. [Optional] Is there anything else you feel it's important for people to know about SAD?
e.g. do you feel there are any misconceptions about the disorder?
Your answer
13. [Optional] I am happy to be contacted by Bearable to share more information about how I manage SAD.
If so, please share your email address below.
Your answer
14. I'm happy for the information shared in this form to be published anonymously to help raise awareness for SAD and how it affects other Mental Health conditions & disorders
*
Yes
No
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