Mood Symptoms and Support Survey

How Often and How Long

1. This anonymous survey asks about your mood, how it affects your life, and the support you use. It takes about 5 to 10 minutes.

2. Your answers support research on mood problems. They are not a diagnosis; if you are worried about your mood, please speak with a health professional.

3. In the past 6 months, how often have you felt sad, low or depressed?

   Choose one:

   • Never
   • Rarely
   • Sometimes
   • Often
   • Always

4. Which of these have you experienced for most of the day, almost every day, for at least two weeks in a row?

   Choose any that apply:

   • Sadness without a clear reason
   • Loss of interest or pleasure in things
   • Weight loss or gain that you did not intend
   • Sleeping too little or too much
   • Low energy or tiredness
   • Strong feelings of guilt or worthlessness
   • Trouble concentrating
   • Thoughts of ending your life
   • None of these

5. If you are having thoughts of ending your life, please reach out now to a doctor, a local crisis line or emergency services. You do not have to face this alone.

6. If you wish, tell us more about what you experienced.

   Condition: Only when at least one experience was selected

   Open answer

Effects on Your Daily Life

Condition: Only when low mood or a persistent symptom was reported

1. Has your mood had a negative effect on each of these areas?

   • Work or studies
   • Relationships
   • Physical health
   • Social life
   • Daily routine and household tasks

   For each row: choose one:

   • Yes
   • Not sure
   • No

2. In what other ways has your mood affected your everyday life?

   Open answer

Previous Treatment

1. Have you ever had treatment for problems with your mood?

   Choose one:

   • Yes
   • No
   • Prefer not to say

2. What kind of treatment did you have?

   Condition: Only for respondents who had treatment

   Choose any that apply:

   • Medication
   • Talking therapy or counselling
   • Hospital or inpatient care
   • Peer support group
   • Other

3. What other treatment did you have?

   Condition: Only when Other was selected

   Open answer

4. In total, how long did your treatment last?

   Condition: Only for respondents who had treatment

   Choose one:

   • Less than 3 months
   • 3 to 12 months
   • 1 to 2 years
   • More than 2 years

5. How helpful was the treatment for your mood?

   Condition: Only for respondents who had treatment

   Choose one:

   • Very helpful
   • Somewhat helpful
   • Not very helpful
   • Not at all helpful

Support and Coping

1. Who do you mainly turn to for emotional support?

   Choose any that apply:

   • Family
   • Friends
   • Health professionals
   • Support groups
   • Self-help resources
   • No one

2. What do you do to help yourself when your mood is low?

   Open answer