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Initial GHQ 12 Q

This document is a general health questionnaire that asks respondents to rate their health and well-being over the past few weeks. It contains 14 questions that assess factors like concentration, sleep, stress, decision making, enjoyment of daily activities, confidence, happiness, and financial situation. It also asks if the respondent has ever received treatment for mental health issues in the past. The goal is to understand the person's current and recent physical and mental complaints.

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John Wilbert Sarausos
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89 views2 pages

Initial GHQ 12 Q

This document is a general health questionnaire that asks respondents to rate their health and well-being over the past few weeks. It contains 14 questions that assess factors like concentration, sleep, stress, decision making, enjoyment of daily activities, confidence, happiness, and financial situation. It also asks if the respondent has ever received treatment for mental health issues in the past. The goal is to understand the person's current and recent physical and mental complaints.

Uploaded by

John Wilbert Sarausos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SWS serial no:

General Health Questionnaire


Date:

Please read this carefully:

We should like to know if you have had any medical complaints, and how your health has been in general, over the past few weeks. Please
answer ALL the questions on the following pages simply by underlining the answer which you think most nearly applies to you. Remember that
we want to know about present and recent complaints, not those that you had in the past.

It is important that you try to answer ALL the questions.

Thank you very much for your help.

Have you recently:

1. been able to concentrate on whatever Better than usual Same as usual Less than usual Much less than usual
you’re doing?

2. lost much sleep over worry? Not at all No more than usual Rather more than usual Much more than usual

3. felt that you are playing a useful More so than usual Same as usual Less useful than usual Much less useful
part in things?

4. felt capable of making decisions More so than usual Same as usual Less so than usual Much less capable
about things?

5. felt constantly under strain? Not at all No more than usual Rather more than usual Much more than usual
6. felt you couldn’t overcome Not at all No more than usual Rather more than usual Much more than usual
your difficulties?

7. been able to enjoy your normal More so than usual Same as usual Less so than usual Much less than usual
day-to-day activities?

8. been able to face up to your More so than usual Same as usual Less able than usual Much less able
problems?

9. been feeling unhappy and depressed? Not at all No more than usual Rather more than usual Much more than usual

10. been losing confidence in yourself? Not at all No more than usual Rather more than usual Much more than usual

11. been thinking of yourself as a Not at all No more than usual Rather more than usual Much more than usual
worthless person?

12. been feeling reasonably happy, More so than usual Same as usual Less so than usual Much less than usual
all things considered?

13. How well would you say you are managing Living comfortably or doing alright Just about getting by Finding it difficult or very difficult
financially these days?

Any previous treatment for mental health problems?

14. Have you ever received treatment for depression, anxiety, or other mental health problem in the past? (Please tick one) Yes No
(Treatment might be tablets, or counselling, or seeing a psychiatrist or other mental health professional)

Local Research Ethics


Committee No: 335/99

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