Mental Health Check-In

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Mental Health Check-In

CREST-Youth (SOAR)
Mental Health Check-in

Hey there! Thank you for showing interest in our mental health check-in! This form won’t take you long to complete. We will get in touch with you within 3 working days. At SOAR, we are here to support you with your mental health. If you are a youth aged 12 to 25, this is for you!

If you wish to make a referral, please do so via https://tinyurl.com/SOAR-Referral
When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

In the past 4 weeks... (Please select only one) *
1. How often did you feel tired out for no reason?
2. How often did you feel nervous?
3. How often did you feel so nervous that nothing could calm you down?
4. How often did you feel hopeless?
5. How often did you feel restless or fidgety?
6. How often did you feel so restless you could not sit still?
7. How often did you feel depressed?
8. How often did you feel that everything was an effort?
9. How often did you feel so sad that nothing could cheer you up?
10. How often did you feel worthless?
Data Collection and Protection Policy

As a program funded by the Agency for the Integrated Care (AIC), we require the above information as part of your participation in this event. This is for purpose of data analysis and evaluation of our program. These information will not be shared with third parties without your permission or used for purposes outside our program. We will take reasonable precaution to protect your personal data from unauthorised access, misuse, modification and disclosure.

You may read more about LFS’s Data Protection Policy (https://lakeside.org.sg/about-us/our-policies) and AIC’s Data Protection Policy (https://www.aic.sg/data-protection-policy) in the respective links.