Survey Templates University Surveys Depression Survey for Students + Sample Questionnaire Template

Depression Survey for Students + Sample Questionnaire Template

The depression survey for students is an in-depth questionnaire that is administered to University and school students to understand their mental health and depression in detail. This sample survey aims to collect feedback about how understanding do the students think the University is on a sensitive topic such as depression. You can use these survey questions to understand the student’s perception of how you tackle depression on college, the ease of getting help and also understand from them, how expensive it is to get help.

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Are you feeling the following feelings at the moment?

	Never	Once in a while	About half the time	Most of the time	Always
Depressed	Never	Once in a while	About half the time	Most of the time	Always

Sad	Never	Once in a while	About half the time	Most of the time	Always

Lonely	Never	Once in a while	About half the time	Most of the time	Always

Angry	Never	Once in a while	About half the time	Most of the time	Always

Upset	Never	Once in a while	About half the time	Most of the time	Always

Distressed	Never	Once in a while	About half the time	Most of the time	Always

Disappointed	Never	Once in a while	About half the time	Most of the time	Always

Unloved	Never	Once in a while	About half the time	Most of the time	Always

Helpless	Never	Once in a while	About half the time	Most of the time	Always

Hopeless	Never	Once in a while	About half the time	Most of the time	Always

	Never	Once in a while	About half the time	Most of the time	Always
Unable to concentrate in classes and other activities	Never	Once in a while	About half the time	Most of the time	Always

Irritable	Never	Once in a while	About half the time	Most of the time	Always

Feeling sleeplessness	Never	Once in a while	About half the time	Most of the time	Always

Reckless	Never	Once in a while	About half the time	Most of the time	Always

Anxious	Never	Once in a while	About half the time	Most of the time	Always

Suicidal	Never	Once in a while	About half the time	Most of the time	Always

Empty	Never	Once in a while	About half the time	Most of the time	Always

Guilty	Never	Once in a while	About half the time	Most of the time	Always

In the past few months, how often have you felt the following?

	Very rarely	Rarely	Neutral	Often	Very often
Little interest in doing things	Very rarely	Rarely	Neutral	Often	Very often

Little interest in talking to family and friends	Very rarely	Rarely	Neutral	Often	Very often

Irritation and bouts of breaking down	Very rarely	Rarely	Neutral	Often	Very often

Inability to concentrate on the task at hand	Very rarely	Rarely	Neutral	Often	Very often

Either under eating or overeating	Very rarely	Rarely	Neutral	Often	Very often

Either sleeping way too much or way too less	Very rarely	Rarely	Neutral	Often	Very often

Feeling of getting far away from everyone	Very rarely	Rarely	Neutral	Often	Very often

Feeling of hurting yourself	Very rarely	Rarely	Neutral	Often	Very often

Having suicidal thoughts	Very rarely	Rarely	Neutral	Often	Very often

Inability to smile or laugh	Very rarely	Rarely	Neutral	Often	Very often

Do you have access to the following on campus?

Counsellor

Clinical depression services

Psychiatrist

Psychologist

Have you been diagnosed with any of form of depression in the past?

Yes

Have you been diagnosed with any form of depression after you started going to this University?

Yes

If you feel depressed, you know whom to approach and where to go?

Yes

What type of depression were you diagnosed with in the past or currently? Select all that apply:

Major depressive disorder

Treatment resistant depression

Bipolar disorder

Subsyndromal depression

Persistent depressive disorder (PDD) or Dysthymia

Posttraumatic stress disorder (PTSD)

Attention-deficit/hyperactivity disorder (ADHD)

Premenstrual dysphoric disorder

Disruptive mood dysregulation disorder

Postpartum (or perinatal) depression

Substance-induced mood disorder

Psychotic depression

Depression due to an illness

Psychotic depression

Situational depression

Atypical depression

Seasonal affective disorder (SAD)

Other

Please state the frequency at which the following occur in your day-to-day live on campus?

	Never	Once in a while	About half the time	Most of the time	Always
Does the University classify your depression as a disability?	Never	Once in a while	About half the time	Most of the time	Always

Are professors, management and classmates sensitive to your depression?	Never	Once in a while	About half the time	Most of the time	Always

Do the professors give you the leeway or give you extra time to complete tests and assignments after knowing about your depression?	Never	Once in a while	About half the time	Most of the time	Always

Access to emotional support animals on campus	Never	Once in a while	About half the time	Most of the time	Always

Are you allowed to take your emotional support animal to class?	Never	Once in a while	About half the time	Most of the time	Always

Access to other emotional support tools on campus	Never	Once in a while	About half the time	Most of the time	Always

Access to emotional support groups on campus and outside	Never	Once in a while	About half the time	Most of the time	Always

Do you think gentrification is occurring in your University area?

Yes

I don't know

The overall policy on depression in this University is:

Very unsatisfactory

Unsatisfactory

Neutral

Satisfactory

Very satisfactory

Is there any other feedback you would like to provide?

use this free template

Depression Survey for Students + Sample Questionnaire Template

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