Wellbeing Assessment Wave 2 MEA 10- 21/22 Survey

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* 5. Please state whether your

Male

Female

Other

Do not wish to say

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* 6. Select one from each of the following question

I worry about things

Never

Sometimes

Often

Always

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* 7. I feel sad or empty

Never

Sometimes

Often

Always

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* 8. When I have a problem, I get a funny feeling in my stomach

Never

Sometimes

Often

Always

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* 9. I worry when I think I have done poorly at something

Never

Sometimes

Often

Always

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* 10. I would feel afraid of being on my own at home

Never

Sometimes

Often

Always

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* 11. I like to be in control?

Never

Sometimes

Often

Always

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* 12. Nothing is much fun anymore

Never

Sometimes

Often

Always

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* 13. I feel scared when I have to take a test

Never

Sometimes

Often

Always

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* 14. I feel worried when I think someone is angry with me

Never

Sometimes

Often

Always

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* 15. I worry about being away from my parents

Never

Sometimes

Often

Always

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* 16. I get bothered by bad or silly thoughts or pictures in my mind

Never

Sometimes

Often

Always

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* 17. I have trouble sleeping

Never

Sometimes

Often

Always

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* 18. I worry that I will do badly at my school work

Never

Sometimes

Often

Always

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* 19. I worry that something awful will happen to someone in my family

Never

Sometimes

Often

Always

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* 20. I suddenly feel as if I can't breathe when there is no reason for this

Never

Sometimes

Often

Always

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* 21. I have problems with my appetite (eating habits)

Never

Sometimes

Often

Always

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* 22. Have you ever used Calorie counting Apps or Apps to manage your weight.

Never

Sometimes

Often

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* 23. I have to keep checking that I have done things right (like checking if the switch is off, or the door is locked)

Never

Sometimes

Often

Always

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* 24. I feel scared if I have to sleep on my own

Never

Sometimes

Often

Always

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* 25. I have trouble going to school in the mornings because I feel nervous or afraid

Never

Sometimes

Often

Always

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* 26. I have no energy for things

Never

Sometimes

Often

Always

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* 27. I worry I might look foolish

Never

Sometimes

Often

Always

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* 28. I am tired a lot

Never

sometimes

Often

Always

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* 29. I worry that bad things will happen to me

Never

Sometimes

Often

Always

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* 30. I can't get bad or silly thoughts out of my head

Never

Sometimes

Often

Always

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* 31. I have thoughts of self harm or suicide

Never

Sometimes

Often

Always

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* 32. When I have a problem, my heart beats really fast

Never

Sometimes

Often

Always

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* 33. I can not think clearly

Never

Sometimes

Often

Always

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* 34. I suddenly start to tremble or shake when there is no reason for this

Never

Sometimes

Often

Always

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* 35. I worry that something bad will happen to me

Never

Sometimes

Often

Always

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* 36. When I have a problem, I feel shaky

Never

Sometimes

Often

Always

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* 37. I feel worthless

Never

Sometimes

Often

Always

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* 38. I worry about making mistakes

Never

Sometimes

Often

Always

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* 39. I have to think of special thoughts (like numbers or words) to stop bad things from happening

Never

Sometimes

Often

Always

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* 40. I worry what other people think of me

Never

Sometimes

Often

Always

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* 41. I am afraid of being in crowded places (like shopping centers, the movies, buses, busy playgrounds)

Never

Sometimes

Often

Always

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* 42. I think about death

Never

Sometimes

Often

Always

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* 43. All of a sudden I feel really scared for no reason at all

Never

Sometimes

Often

Always

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* 44. I worry about what is going to happen

Never

sometimes

Often

Always

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* 45. I suddenly become dizzy or faint when there is no reason for this

Never

Sometimes

Often

Always

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* 46. I have had thoughts of self harm or suicide

Never

Sometimes

Often

Always

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* 47. I feel afraid if I have to talk in front of my class

Never

Sometimes

Often

Always

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* 48. My heart suddenly starts to beat too quickly for no reason

Never

Sometimes

Often

Always

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* 49. I feel like I don’t want to move

Never

sometimes

Often

Always

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* 50. I worry that I will suddenly get a scared feeling when there is nothing to be afraid of

Never

Sometimes

Often

Always

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* 51. I have to do some things over and over again (like washing my hands, cleaning or putting things in a certain order)

Never

Sometimes

Often

Always

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* 52. I am afraid of looking foolish in front of people

Never

Sometimes

Often

Always

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* 53. I have to do some things in just the right way to stop bad things from happening

Never

Sometimes

Often

Always

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* 54. I worry in bed at night

Never

Sometimes

Often

Always

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* 55. I feel scared if I have to sleep away from home overnight

Never

Sometimes

Often

Always

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* 56. I feel restless

Never

Sometimes

Often

Always

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* 57. Do you help/look after one of your parents or help 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.

Yes

Sometimes

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* 1. Please state your schools name

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* 2. Form or class name

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* 3. What year group are you in

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* 4. Insert your full name

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* 5. Please state whether your

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* 6. Select one from each of the following question I worry about things

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* 7. I feel sad or empty

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* 8. When I have a problem, I get a funny feeling in my stomach

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* 9. I worry when I think I have done poorly at something

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* 10. I would feel afraid of being on my own at home

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* 11. I like to be in control?

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* 12. Nothing is much fun anymore

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* 13. I feel scared when I have to take a test

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* 14. I feel worried when I think someone is angry with me

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* 15. I worry about being away from my parents

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* 16. I get bothered by bad or silly thoughts or pictures in my mind

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* 17. I have trouble sleeping

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* 18. I worry that I will do badly at my school work

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* 19. I worry that something awful will happen to someone in my family

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* 20. I suddenly feel as if I can't breathe when there is no reason for this

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* 21. I have problems with my appetite (eating habits)

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* 22. Have you ever used Calorie counting Apps or Apps to manage your weight.

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* 23. I have to keep checking that I have done things right (like checking if the switch is off, or the door is locked)

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* 24. I feel scared if I have to sleep on my own

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* 25. I have trouble going to school in the mornings because I feel nervous or afraid

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* 26. I have no energy for things

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* 27. I worry I might look foolish

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* 28. I am tired a lot

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* 29. I worry that bad things will happen to me

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* 30. I can't get bad or silly thoughts out of my head

Question Title

* 31. I have thoughts of self harm or suicide

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* 32. When I have a problem, my heart beats really fast

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* 33. I can not think clearly

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* 34. I suddenly start to tremble or shake when there is no reason for this

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* 35. I worry that something bad will happen to me

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* 36. When I have a problem, I feel shaky

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* 37. I feel worthless

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* 38. I worry about making mistakes

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* 39. I have to think of special thoughts (like numbers or words) to stop bad things from happening

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* 40. I worry what other people think of me

* 6. Select one from each of the following question

I worry about things