M-H-Q-Eng

Emotional Well-Being Assessment

This assessment is a tool to help you reflect on your heart, your emotions, and your relationship with God and with people.

Important: this questionnaire is not a psychological or psychiatric diagnosis. It does not replace care from mental health professionals or medical doctors.


  1. In the last two weeks, how often have you felt sad or down?

  2. In the last two weeks, how often have you had little interest or pleasure in doing things?

  3. How often have you felt anxious or tense without a clear reason?

  4. How often have you had difficulty relaxing or “turning off” your mind?

  5. How often have you had difficulty falling asleep or staying asleep?

  6. How often do you wake up tired, even after sleeping?

  7. How often have you felt physically exhausted or without energy?

  8. How often have you had trouble concentrating on simple tasks?

  9. How often have you become easily irritated or lost your patience?

  10. How often do you feel overwhelmed by daily responsibilities?

  11. How often have you felt lonely, even when around other people?

  12. How often have you avoided meeting people or taking part in social activities?

  13. How often do you feel you are not good enough or criticize yourself excessively?

  14. How often do you feel guilty for not being able to handle everything?

  15. How often do you feel that your faith or spirituality has not been a source of comfort (or feels distant)?

  16. How often do you feel that your life lacks direction or purpose?

  17. How often do you feel that you cannot control your worries?

  18. How often do you notice physical symptoms (muscle tension, headaches, tightness in the chest) related to stress?

  19. How often do you have difficulty making decisions, even simple ones?

  20. How often do you feel that you need help, but do not know where to start?