Well-being questionnaire

Please read the questions carefully before answering to make sure your answers are as accurate as possible. And please be as honest as possible; the more honest you are with yourself and in the questionnaire, the more accurately we can identify the problem/s and provide you with better, more effective help.

Personal Info

Identifying your symptoms

Previous treatment/s

Identifying the cause

Support system

Analyzing yourself

Your current job

Finding your strengths and hobbies


Your daily routine