Screening Form V1.1


The aim of MyMind is to assist you with any mental health problems you may be experiencing. 

The following survey is an essential first step to indicate the best direction to be taken in relation to your support.

Although there is no requirement to answer all questions, if filled out honestly and to the best of your knowledge, this survey will give your therapist a good starting point to make your sessions at MyMind fully beneficial. 


All information provided is kept in the strictest confidence.

At the end of this assessment we will provide you a brief result.

MyMind Client Screening Form (for online and face to face services).

There are 5 questions in this survey.