Skip to content

Depression, Suicide, Mental Health

  1. Have you ever taken part in a support group?
    1. No
    2. Yes
  2. Have you ever received any type of school counseling?
    1. No
    2. Yes
  3. If you felt stressed or depressed, who would you most likely talk to for advice or information?
    1. Friend
    2. Brother/Sister
    3. Parent/Guardian
    4. Teacher/Counselor
    5. Other Adult
    6. Internet
    7. Hotline/Agency
    8. Other
  4. Have you ever called a hotline for help with problems you are having at school, home, or elsewhere?
    1. Yes
    2. No

Please note: the questions listed are those that have been used in various custom modules to-date. These questions are intended to be used as guides only, as WestEd does not make claims to their utility. Clients wishing to develop a custom module should do so in consultation with their Cal-SCHLS Regional Center.

© 2018 WestEd. All rights reserved.

730 Harrison Street, San Francisco, CA 94107 | Toll free 888.841.7536 | Fax 415.565.3012