Please indicate for each of the five statements which is closest to how you have been feeling over the last two weeks. Notice that higher numbers mean better well-being.

Likert Scale:

• 5 = All of the time
• 4 = Most of the time
• 3 = More than half of the time
• 2 = Less than half of the time
• 1 = Some of the time
• 0 = At no time

Example: If you have felt cheerful and in good spirits more than half of the time during the last two weeks, select the number ‘3’ indicating “More than half of the time”

Interpretation: Caseworkers are not intended to take on the role of pseudo-clinicians. This is a short self-assessment which may indicate a need for referral to a trained professional.

The results should be considered along with all the other information you have been given by the client. Please consider referral if the raw score is below 13 or if the candidate has answered 0 to 1 to any of the five items.