Mental Health Mental Health Check In Building healthy self-esteem and self-love allows us all to reconnect with our true selves and learn proper tools and coping mechanisms for a healthier you. Take this first step toward living the life you want and deserve. "*" indicates required fields Mental HealthName*Phone Number*Email Address 1. Do you find yourself tired most of the day?* Yes No 2. Are you restless at night?* Yes No 3. Do you spend a lot of time thinking, and not as much time doing things actively?* Yes No 4. Do you constantly worry about those around you, family and/or friends?* Yes No 5. Do you find it hard to leave a relationship even though you know it’s unhealthy?* Yes No 6. Do you find it challenging to put yourself first, even though you deserve to?* Yes No 7. Do you have habits that seem to control your life, more than you control the habit?* Yes No 8. Do you have difficulty identifying what brings joy and happiness into your life?* Yes No 9. Is self-medicating a concern you have? It could be pharmaceuticals, food, or even exercise.* Yes No 10. Do you feel like you’ve lost control of your life?* Yes No
