Which emotion best describes how you’ve been feeling lately?

• Happy or content

• Stressed or anxious

• Sad or down

• Numb or disconnected

What has been causing you the most stress recently?

• Schoolwork or exams

• Family issues

• Friends or social relationships

• Personal health or well-being

How do you usually cope when you feel stressed?

• Talk to someone I trust

• Engage in hobbies or activities

• Sleep or rest

• Avoid the problem or keep it to myself

• I’m not sure how to cope

What kind of support would help you most from school or teachers?

• Lighter academic load or flexible deadlines

• More counseling or guidance services

• Open communication with teachers

• Peer support or student groups

How well are you managing your school workload alongside your personal life?

• Very well

• Well

• Neutral

• Poorly

• Very poorly

Is there anything you’d like to share about how you’re feeling right now?

What can we do to better support your mental health?