Question 1

Have you experienced signs and symptoms of
depression in the last 6 months?

Have you experienced significant anxiety or
panic in the last 6 months?

Are you currently experiencing significant stress or
difficulty adjusting to a major life change?

Is your stress or mood impacting your social, occupational, or
educational performance or ability to engage in these activities?

Have you experienced a major life change in the last 6 months?

Registration Form
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