research questionaires


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Orion Life Gate Foundation

Mental Assessment

Jan 2015

T.B. Fire






C R U D E A S S E S S M E N T Q U E S T I O N N AI R E S
v   Mental Health
This exercise is intended to determine the stress thresh-hold of every client who honestly answers them. They are categorized into several sections, each directed to gaining particular key information about a person’s inherent nature (temperament), adopted lifestyle by virtue of whom you have grown to become (personality) and beliefs of a person. This is to aid psychiatrist or counselor with the knowing premorbidity of the client hence making diagnosis and reinstatement of mental health into the normal much easier. Questionnaires are categorized into five main parts namely
Ø TEMPERAMENT DETERMINING TEST
Ø STRESS THRESH-HOLD DETERMINING TEST
Ø CURRENT ASSOCIATED HEALTH STATUS
Ø CLIENT’S NECESSARY HISTORY
Ø CLIENT’S SPECIFIC PROBLEMS
Precautions for Analyzing test
In cases of disturbed mental health, the best way to get results is by how much patients clearly reflect their health status as answers to the questions. Clients are recommended to answer the questions definitely.  Answers will determine 50% of client’s mental health status. Questions follow a sequential chain so a single inconsistency will not speak well of the client. This in addition to its role as an alternate pre-diagnosis will save client of providing wrong information in times of ill-mental health. A single inconsistency is a reason for deliberation. Most often such reasons are the determinants of the problem client is facing. Questions are clear enough to be understood by all so a miscomprehension or need of assistance is a sign of alarm. Questions will as also serve as questionnaires for a two year research by a medical team.  After answers are presented clients will not have the chance to correct given information. When not clear with the information to provide leave spaces blank but it is advisable that much of the doubts are settled before client meets a physician in time of trouble. Counting on legibility of expression alone
INSTRUCTIONS: This is a Personality Temperament Test taken from Tim LaHaye's book, "Why You Act the Way You Do". It helps assess your temperament of potential strengths & weaknesses. It's very simple and takes about 45 minutes to complete. There are 4 Sections below. In each section you will find a series of descriptive words. Your job is to read each word and put a number next to it according to how well it describes the REAL you. After you have completed all 4 Sections go to page 2 for further instructions. To get a more accurate assessment of your temperament have 3-4 close friends &/or family members also complete a test about your temperament.

REMEMBER: It's important that you be honest and objective. Don't mark a box according to how you want to be seen, rather mark it according to how you really are. If it is NATURALLY who you are then it isn't something that you are "working on" nor is it something that requires a lot of effort in order for you to be that way. It just comes natural. Some of the descriptive words below are very flattering words and some are unflattering words. Don't answer according to how you want to be or don't want to be. BE COMPLETELY 100% HONEST WITH YOURSELF.... BE RAW ABOUT WHO YOU ARE RIGHT NOW AT THIS POINT IN YOUR LIFE. SCORING CRITERIA: Score how each word best describes you:
1 = "That is definitely NOT me!"
2 = "That is usually NOT me."
3 = "That is usually me."
4 = "That is mostly me."
5 = "That is definitely me!
SECTION 01


SECTION 02

SECTION 03

SECTION
04

Emotional

Optimistic

deep feeling

very quiet

egotistical

Determined

Critical

Selfish

interrupts others

Bossy

Insecure

Unenthusiastic

Compassionate

Goal-oriented

Sensitive

regular daily habits

Impulsive

Decisive

indecisive

Hesitant

Disorganized

Frank

hard to please

Shy

impractical

self-confident

Self-centered

Stingy

Funny

Sarcastic

pessimistic

Aimless

Forgetful

Workaholic

depressed easily

not aggressive

easily discouraged

self-sufficient

easily offended

Stubborn

easily discouraged

self-sufficient

easily offended

Stubborn

very positive

Practical

Idealistic

Worrier

easily angered

headstrong

Loner

spectator of life

Undisciplined

Activist

self-sacrificing

works well under pressure

Extrovert

Outgoing

Introvert

Indecisive

refreshing

Domineering

faithful friend


Adaptable

lively/spirited

Adventurous

analytical

slow and lazy

weak-willed

aggressive

considerate

submissive to others

Spontaneous

competitive

likes behind the scenes


easy going

Talkative

leadership ability

suspicious

Reserved

delightful/cheerful

Daring

respectful

calm and cool

enjoyable

persevering

introspective

content/satisfied

Popular

Bold

Planner

Efficient

friendly/sociable

strong-willed

perfectionist

Patient

"bouncy"

persuasive

scheduled

Dependable

Restless

hot-tempered

unforgiving/resent7s

Listener

difficulty with appointments

resourceful

Orderly

witty/dry humour

likes to play


insensitive

Creative

Pleasant

 lives in present

Outspoken


Detailed

teases others

difficulty concentrating

Unsympathetic

Moody

Consistent

difficulty keeping
resolutions

productive

gifted (musically or
athletically)




difficulty with appointments








Personality Temperament Test
ANALYSIS
ONCE YOU HAVE COMPLETED ALL 4 SECTIONS.
 After you have completed all 4 Sections go back and cancel out each description that you scored either a 1 or 2 by drawing a line through that number. Since that score is so low it doesn't really apply to your overall scoring in each Section . Now add up all of the 3's, 4's, & 5's in each Section and write your total at the bottom of each appropriate section. The section with the highest score is your Primary Temperament and the section with the second highest score is your Secondary Temperament. No one is one pure temperament, but instead we are a blend of all the temperaments.

WHAT'S MY PERSONALITY TEMPERAMENT?
Each section represents one of four Temperaments:
SECTION 1: Sanguine Temperament
(Fun-loving extrovert; outgoing; very social; "the life of the party") – EXTROVERT

SECTION 2: Choleric Temperament
 (Focused; extrovert; goal oriented; "the achiever") – EXTROVERT

SECTION 3: Melancholy Temperament
 (Detailed; introspective; artistic; "the naturally gifted") – INTROVERT

SECTION 4: Phlegmatic Temperament
(Easy going; stable; consistent; "the loyal friend") – INTROVERT

Temperament versus Choice
What reason aside your programme of interest motivated you to choose your current school? Are those reasons still serving you to the fullest?
Which hall was your choice? Do conditions there suit your academic studies?
Do conditions there serve your recreationally? What specific problem hindered the above? How many social, religious clubs would you wish to be present?
How many visits did you do or have in the month? What has been the reason for the reduction or increase in them? Does the reason affect you emotionally, psychologically or academically? Have any of the conditions above superseded the ultimate reason for being in school?
2.     STRESS THRESH-HOLD DETERMINING TEST
Assessment over the last two weeks
Not at all
Several
Days
More than
half the
days
Nearly
Every day
1. Little interest or pleasure in doing things




2. Feeling down, depressed, or hopeless




3. Trouble falling or staying asleep, or
sleeping too much




4. Feeling tired or having little energy




5. Poor appetite or
Overeating




6. Feeling bad about yourself or that you are a failure or
have let yourself or your family down




7. 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've been moving around a lot more than usual




9. Thoughts that you would be better off dead, or
hurting yourself in some way




1. Feeling nervous, anxious or on edge




2. Not being able to stop or control worrying




3. Worrying too much about different things




4. Trouble relaxing




5. Being so restless that it is hard to sit still




Becoming easily annoyed or irritable







CURRENT DISEASES ASSOCIATED WITH MENTAL HEALTH STATUS
Pregnancy
When did your menstruation fall?
Have you ever a history of menstrual depression?
What is the length of time it takes before it wears off?
Have you missed your menstruation recently?
By how many times?
Delivery
Have you experienced diseases with a viral causative organism like cold, influenza, flu chicken pox, hepatitis, Para influenza, Ebola, shingles, measles, TB, aids, ?
Have had any stroke in the past year?
Do you have a history Coleman? (Post stroke symptoms)
Do you have a history of recovery from a chronic time of fatigue?
Recent accident E.g.  Head trauma or encephalitis
Do you have a record of a fatal motor accident?
Do you have a record of constant amnesias or forgetfulness? (Sign of possible history of accident)
Have you tested positive to any of these diseases?
Overactive thyroid and an underactive thyroid?
Multiple sclerosis
Cardiac conditions
CLIENT’S NECESSARY MEDICAL HISTORY
Do you have any mental related childhood disease e g. epilepsy?
Are you genetically predisposed to diseases like Alzheimer’s disease, Autism, Parkinson’s disease, or other neurodegenerative diseases?
Is there any of such things in your family?
Any history of mental illness?
Do you a history of stigmatisation, weather by a dreadful disease or severe deformity caused by accident?


CLIENT’S SPECIFIC PROBLEMS
Outline the number of fears that can tense you and can distract you from a task.
History of rape or any stigma related act?
Any deformity to physical being or
                                                                                                         
PHOBIAS
Ablutophobia: It is a persistent and irrational fear of bathing, washing, or cleaning.
Aerophobia: It is an abnormal and exaggerated fear of infinity or things that never end.
Bibliophobia: It is a fairly unusual phobia of books. People suffering from this phobia may experience breathlessness and dizziness when forced or encouraged to read.
Coulrophobia  : It is an irrational and unusual fear of clowns or mimes.
Metro phobia: It is an uncommon and unusual fear or hatred of poetry.
Zelophobia : It is an abnormal and morbid fear of jealousy.
Xerophobia: It is an overwhelming and irrational fear of dryness.
Gephyrophobia: It is a persistent and abnormal fear of crossing bridges.
Hispanophobia: It is an unwarranted and morbid fear of falling asleep or of being hypnotized; also called somniphobia.
Medomalacuphobia : It's an irrational and unwarranted fear of losing an erection.
Cyber phobia: It is a strange and rare fear related to computers or working on a computer; also called logizomechanophobia. Any peculiar Traumas/ Shocks
E .g.  An unrecovered heart break, Loss of a loved one, Sudden rent bad news; loss of lottery, loss major football match, Exam failure,

Academic related issues
Reading pace                                                                                 
Number of hours ones can stay behind books                              
Any addiction to non-harmful substance?  Coffee, coke   
Any addiction to non-violent lifestyle?  E. g. television
Area of academic interest
Area of study now
Extreme Temperament Check
Do you have a history of crush’s or unsatisfied obsession?  Friend either male or female, addictive leisure which can pose as a threat to your emotional or mental health when lost or abused?
How urgent is you’re need of replacement?
How necessary is you want of that?
Do you have a history of personality attack   s which could possibly recur or draws you back? E. g. Ever being jailed, history of sex scandal, history of public drug addiction, history of ‘’societal immorality-tag or hook’’, or history of extreme morality?
How were they settled? Do they have the tendency to storm your emotions or disturb your thoughts ever again?
 Every single detail of these should be narrated to a peer counsellor to realise the intensity of impression on a client’s mood at the time of assessment. If possible audio documentation should be done if only it can be a very confidential document. Picture should be taken after session to release client of this stress. This is the post counselling evidence, a secondary proof of premorbidity.
Way of learning versus subject of interest.
Which subject is your strength?
Which subject is your weakness?
Where does your interest lie among the two?
What is your plan of study?
To make these questionnaires lively and stress releasing at the time of crisis class time table as well as student time table should be discussed first for a thorough understanding before his personal potentials are brought under consideration?
Do same for pre and post-morbidity determination.



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