right_arrow_blueIntroducing User Segmentation — Deliver surveys and feedback forms with precise targeting using powerful User Segments. Learn more

Zonka Feedback gets smarter with AI: Build smarter surveys, unlock deeper insights ➝

Request a Demo

Book a Demo with Zonka Feedback


Get Started for Free

Enter primary contact's full name
Enter primary contact's email address
Choose a password (at least 6 characters, no spaces, case-sensitive)
  • Your account is being created in the
By proceeding, you agree to the Terms of Service and Privacy Policy.
Or, sign up with email

user-picsrating-star crowd-logo captera-logo Rated 4.8/5 stars


Get Started for Free

Enter primary contact's full name
Enter primary contact's email address
Choose a password (at least 6 characters, no spaces, case-sensitive)
  • Your account is being created in the
By proceeding, you agree to the Terms of Service and Privacy Policy.
Or, sign up with email

user-picsrating-star crowd-logo captera-logo Rated 4.8/5 stars

Mental Health Survey Template

Effectively assess individual or group mental health and well-being using this simple Mental Health Survey Template.

  • Try 7 days for Free
  • Lightening fast setup
This mental health survey will inform you about how people handle mental stress. This survey will help you collect feedback from people about their mental health. Cover specific points such as temperament, outlook, social self, drive, motivation, mind, and body connection.

Questions in Mental Health Survey Template

  1. 1. When was the last time you had a mental health examination?
    • Less than 6 month ago
    • 6 month ago
    • A year ago
    • More than a year ago
    • Never
  2. 2. How often have you felt sad or depressed in the last two weeks?
    • Not at all often
    • Not so often
    • Somewhat often
    • Very often
    • Extremely often
  3. 3. How often has your mental health interfered with your personal relationships in the last two weeks?
    • Not at all often
    • Not so often
    • Somewhat often
    • Very often
    • Extremely often
  4. 4. How would you rate your mental health in general?

How to Use with Mental Health Survey Template?

Here are few simple steps to get started with measuring customer satisfaction using the Mental Health Survey Template:

  1. Click on 'Edit this Template': On top of this page, you'll see an option to 'Edit this Template'. Click on it to directly start customizing the Mental Health Feedback Form Template.
  2. Customize the template: Once you have signed up or logged in, locate the template and click on it to start editing. The survey builder allows you to customize the template based on your preference. Add your questions, incorporate your branding, and tweak the design to suit your needs. You can also add skip logic, pre-fill data, answer piping, and more to create dynamic surveys and enrich your responses.
  3. Preview the survey: Before you finalize the survey, preview it to ensure everything looks good and functions as expected.
  4. Save the survey: After previewing the survey and making any necessary adjustments, save it.
  5. Prepare for distribution: Now that your survey is ready to go, decide the distribution channel. Consider the most effective channels for reaching your audience, such as email, sms, offline, in-product or website.

Here’s how to effectively distribute your Mental Health Survey Template across diverse channels:

1. Website Surveys

Trigger overlays appearing during browsing, offering anonymous self-assessments or directing to the full survey to the visitors to get feedback. You can trigger them on your healthcare site to assess mental health of your visitors before proceeding for the appointment. Example: After reading an article on stress management, a pop-up asks: "Take a quick check-in! How are you feeling today?" with options to rate stress levels and access the full survey.

2. SMS Surveys

Concise text messages with survey links, perfect for quick self-assessments or regular wellness checks for remote teams. Example: Employees receive an SMS monthly: "Check in with your well-being! Click the link to share your mood and any concerns." (anonymously)

3. Email Surveys

Detailed questionnaires embedded in emails, ideal for in-depth assessments or gathering targeted feedback from specific groups.

Example: Students receive an email after midterms: "Let's prioritize your well-being! Share your stress levels and thoughts on academic support in this confidential survey.”

4. Offline Kiosks

Set up interactive stations in physical locations like workplaces or healthcare facilities, offering access to the survey.

Example: In a university library, an anonymous touchscreen survey asks students about anxiety related to exams and offers links to mental health resources.

5. In-Product Surveys

Seamlessly integrated questionnaires within apps or platforms related to mental health support or personal well-being. Example: After completing a meditation session in a mindfulness app, a pop-up asks: "Rate your current state of relaxation" with options to access further resources if needed.

Bonus Tip: Combine channels for a holistic approach! Use website pop-ups for quick check-ins, followed by email surveys for deeper assessments. Leverage SMS with employees and utilize in-product surveys for real-time feedback within relevant platforms.

Remember, choose the channel that best aligns with your target audience, survey goals, and privacy considerations. Prioritize anonymity, encourage genuine responses, and offer access to support resources. By strategically sharing your Mental Health Survey Template, you can illuminate paths to well-being and foster a culture of open dialogue for a healthier future!

Key Features of Mental Health Survey Template

  1. Surveys Personalization: Choose from validated mental health screening tools, depression and anxiety assessments, or custom questions aligned with specific concerns. Make surveys dynamic by branching logic adapts the survey based on responses, directing individuals to relevant resources or support options, creating a supportive and informative experience.Ensure privacy with secure data storage and anonymous participation, encouraging honest answers for deeper understanding.
  2. Ratings: Capture a range of emotions and experiences beyond "satisfied" or "dissatisfied." Explore stress, anxiety, depression, sleep patterns, and coping mechanisms for a comprehensive picture. Supplement quantitative data with open-ended questions, allowing individuals to elaborate on their experiences and share broader concerns. Assess individual well-being alongside organizational factors like workplace stress, student support availability, or access to mental health resources for a multi-faceted analysis.
  3. Real-time Alerts and Reporting: Track responses as they come in, identifying emerging trends and addressing urgent concerns promptly. Set up alerts based on specific keywords or sentiment to prioritize critical issues. Dive deep with data visualizations and detailed reports, uncovering patterns, comparing results across groups, and analyzing text responses for valuable qualitative insights. Translate data into actionable steps. Generate automated referrals to relevant support services, trigger personalized interventions, or inform program improvements based on identified needs.
  4. Multi-channel Distribution: Distribute the survey through website pop-ups, SMS, email campaigns, in-app integrations, or offline kiosks, reaching your audience wherever they are. Customize the survey with your logo, colors, and fonts to create a familiar and engaging experience. Streamline data flow by connecting the survey to your existing CRM, HR system, or other platforms for effortless analysis and action.

Mental Health Survey Template FAQs

  • 1. What is a Mental Health Survey Template?

    A Mental Health Survey Template is a pre-designed questionnaire specifically focused on assessing individuals' emotional well-being, mental health status, and potential challenges. Unlike general satisfaction surveys, it uses validated tools and questions to delve deeper into aspects like stress, anxiety, depression, sleep patterns, and coping mechanisms.

  • 2. What are the benefits of using a Mental Health Survey Template?

    1. Standardized Assessment: Utilizes validated tools for accurate results and easy comparison across groups.
    2. Personalized Insights: Adapts to individual responses, offering personalized resource recommendations and support pathways.
    3. Enhanced Understanding: Captures a broader spectrum of mental health experiences beyond simple "satisfied" or "dissatisfied" ratings.
    4. Actionable Data: Provides valuable insights to inform interventions, improve support programs, and build a culture of well-being.
    5. Reduced Stigma: Encourages open dialogue about mental health through anonymous participation and resource integration.

  • 3. When should I use a Mental Health Survey Template?

    1. Individual Self-Assessment: Individuals can gain insights into their own mental health and seek support if needed.
    2. Employee Well-being Programs: Companies can assess employee mental health and tailor support resources effectively.
    3. Student Services: Educational institutions can identify student mental health concerns and provide appropriate support.
    4. Research & Advocacy: Researchers can gather data on mental health trends and inform intervention strategies.
    5. Public Health Initiatives: Public health campaigns can assess broader mental health awareness and accessibility of care.

  • 4. What types of questions are included in your Mental Health Survey Template?

    1. Validated Screening Tools: Utilizes tools like the Depression Anxiety Stress Scale (DASS) or Generalized Anxiety Disorder (GAD) questionnaire for accurate assessments.
    2. Emotional State & Experiences: Captures emotions like stress, anxiety, depression, joy, and overall well-being.
    3. Sleep Patterns & Coping Mechanisms: Investigates sleep quality and healthy coping strategies for managing mental health challenges.
    4. Open-ended Questions: Allows individuals to elaborate on their experiences and concerns for deeper understanding.

Create and send this Mental Health Survey Template

Get Started