Aiding Minds

Understanding Young Minds & Making a Difference.


Please be open and honest when answering the questions, there are no right or wrong answers. This information will be used to provide the best support and care for you in school. 

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* 1. Please state your schools name

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* 2. Form or class name

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* 3. Insert your full name

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* 4. Please state whether your

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* 5. What year group are you in (insert a number only)

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* 6. How long do you spend on social media daily?

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* 7. Which social media sites do you use ?

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* 8. How does Social Media impact you life

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* 9. Do you feel as if you have a online persona? (Are you a different person online?)

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* 10. Do you feel Social Media has an impact on your mental health?

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* 11. I am restless, I cannot stay still for long

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* 12. I try to be nice to other people, I care about their feelings

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* 13. I get a lot of headaches, stomach-aches or sickness

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* 14. I usually share with others (food, games, pens etc.)

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* 15. I like to be in control?

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* 16. I feel Uncomfortable eating in front of others or large groups of people

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* 17. I get very angry and often lose my temper

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* 18. I am usually on my own. I generally play alone or keep to myself

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* 19. I usually do as am told

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* 20. I worry a lot

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* 21. I am helpful if someone is hurt, upset or feeling ill

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* 22. I am constantly fidgeting or unsettled

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* 23. I have one good friend or more

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* 24. I fight a lot. I can make other people do what I want

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* 25. I am often unhappy, down-hearted or tearful

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* 26. Other people my age generally like me

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* 27. I am easily distracted, I find it difficult to concentrate

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* 28. I am nervous in new situations. I easily lose confidence

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* 29. I sometimes feel overwhelmed with emotion that I wish, I was not here

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* 30. I am kind to younger children

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* 31. I am often accused of lying or cheating

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* 32. Other children or young people pick on me or bully me

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* 33. I have thought of hurting myself

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* 34. I often volunteer to help others (parents, teachers, children)

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* 35. Are you a Carer, do you look after one of your parents, care for a brother or sister or a relative who may have a Disability, Medical condition or Mental health issues.

By doing extra jobs in and around the home, such as Cooking, cleaning, helping someone get dressed, move around the house, take medications or pick up drop off siblings from school.

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* 36. I think before I do things

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* 37. I take things that are not mine from home, school or elsewhere

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* 38. I get on better with adults than with people my own age

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* 39. I have many fears, I am easily scared

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* 40. I finish the work I'm doing. My attention is good

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* 41. Overall, do you think that you have difficulties in one or more of the following areas: emotions, concentration, behaviour or being able to get on with other people?

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