FAST Initial SUDS Wellbeing Questionnaire

Please complete this questionnaire at the beginning of your session.

Please write down one or two issues or concerns you'd most like our help with.

Please use the scale to show how severe Concern 1 is to you at this moment. 

Concern 1 RatingNot so concernedA bit concernedConcernedConcerned a lotSeverely concernedConcern 1 Rating

Please use the scale to show how severe Concern 2 is to you at this moment. 

Concern 2 RatingNot so concernedA bit concernedConcernedConcerned a lotSeverely concernedConcern 2 Rating

How would you rate your overall emotional wellbeing at this moment?

Overall Emotional WellbeingVery badNot so goodGoodVery goodAwesomeOverall Emotional Wellbeing

All information is strictly confidential and stored inline with the Data Protection Act 1998 and GDPR regulations.

Thanks for submitting!