The Psych Wellbeing | Mood & Wellbeing Check-in

🌸 A note to you: This is a self-reflection tool, not a diagnosis or medical assessment. It's simply a way to notice patterns in your mood and energy over the past two weeks. Your answers can help guide a conversation with your psychologist or counsellor.

Your Name

Date of reflection

psychologist / Counsellor

Over the last 2 weeks, how often have you experienced the following?	Not at all	Several days	More than half the days	Nearly every day
1. Little interest or pleasure in doing things you usually enjoy
2. Feeling down, low, or hopeless
3. Trouble falling asleep, staying asleep, or sleeping too much
4. Feeling tired or having little energy
5. Changes in appetite — eating less or more than usual
6. Feeling bad about yourself — like you're a failure or have let others down
7. Trouble concentrating on things like reading, watching TV, or working
8. Moving or speaking so slowly that others noticed? Or the opposite — feeling restless
9. Thoughts that life isn't worth living or thoughts of hurting yourself

Your reflection summary

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📌 How have these feelings affected your daily life?

Not difficult at all Somewhat difficult Very difficult Extremely difficult

📖 What do the numbers mean? (click to understand)

0-4: You're feeling generally okay.
5-9: You're experiencing some challenging feelings.
10-14: These feelings are showing up fairly often.
15-19: These feelings are frequent.
20-27: You've been carrying a heavy load.

🌿 If you're struggling right now: Please reach out to a mental health professional or call a crisis helpline.