Here For Each Other questionnaire (stressful experiences and difficult times)

We want to make sure that the support we are offering you is right for you.

Please complete this short questionnaire to help us get it right and track your journey with us.

In line with Dorset HealthCare and other NHS trusts, our service operates a Did Not Attend (DNA) policy.

If you fail to attend two consecutive appointments without prior notification, you will be discharged from our service.

Where possible we would appreciate at least 24 hours’ notice of any cancellations of appointments in order for the appointment to be offered to someone else.

After you submit this form, we will respond to you by email. Please monitor your junk/spam email folder so you don't miss anything from us. Our email address is

On the next screen you'll find 14 statements about feelings and thoughts. Please tick the box that best describes your experience of each statement over the last two weeks.
This entry is for the long COVID-19 group *
I've been feeling optimistic about the future *
I've been feeling useful *
I've been feeling relaxed *
I've been feeling interested in other people *
I've had energy to spare *
I've been dealing with problems well *
I've been thinking clearly *
I've been feeling good about myself *
I've been feeling close to other people *
I've been feeling confident *
I've been able to make up my own mind about things *
I've been feeling loved *
I've been interested in new things *
I've been feeling cheerful *
Over the last two weeks, how often have you been bothered by any of the following problems?
Feeling nervous, anxious or on edge *
Not being able to stop or control worrying *
Worrying too much about different things *
Trouble relaxing *
Being so restless that it is hard to sit still *
Becoming easily annoyed or irritable *
Feeling afraid as if something awful might happen *
Little interest or pleasure in doing things *
Feeling down, depressed or hopeless *
Trouble falling or staying asleep, or sleeping too much *
Feeling tired or having little energy *
Poor appetite or overeating *
Feeling bad about yourself; or that you are a failure or have let yourself or your family down *
Trouble concentrating on things, such as reading the newspaper or watching television *
Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual *
Thoughts that you would be better off dead or of hurting yourself in some way *
Mental health and wellbeing advice