St. John Ambulance Wellbeing and Support Depression Screening | St. John Ambulance Wellbeing and Support

Before you get to your results, please take a moment to answer the following optional questions. If you aren’t comfortable sharing any or all of the information, you can click “submit” right away. Otherwise, your answers will help us better understand how we can achieve our mission. Don’t worry; we won’t be able to identify you based on this information.

Sex

Race/Ethnicity

Age

Household Income

Postcode

Are you currently, or have you ever been, diagnosed with a mental health condition by a professional?

Which of the following populations describe you?

Veteran or active duty military
Caregiver of someone living with emotional or physical illness
LGBT
Student
New or expecting mother

Check all that apply.

Do you have any of the following general health conditions?

Heart disease
Diabetes
Alzheimer's or other dementias
Cancer
Arthritis or other chronic pain
COPD or other lung conditions
Other

Check all that apply.

If 'Other' please specify (for general health conditions)

How can we help you?

A phone number to get immediate support or guidance
Additional information about mental health
Referrals to local affiliates or other organizations that can help
Worksheets or coping skills to use at home
An online or mobile program or app that can help you track or manage your symptoms
Other

Check all that apply.

If 'Other' please specify (for how we can help you)

What next steps do you plan to take after screening?

Are you a smoker?

Need help now?

Need help now?

Depression Screening

Depression Screening

Step 1 of 2

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Your responses indicate you may be at risk for harming yourself or someone else. Are you in crisis? Please call 000 or Lifeline on 13 11 14 or go immediately to the nearest emergency room.

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