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Pgi Health Questionnaire

This document contains a 60-item mental health scale intended to assess physical and mental well-being. Respondents are asked to check off any statements that apply to them, with statements covering issues like eye problems, appetite, digestion, fears, sleep, energy, headaches, mood, social comfort, and temperament. Scoring poorly could indicate potential mental health issues requiring further evaluation.

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Shaheda Jamal
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7K views3 pages

Pgi Health Questionnaire

This document contains a 60-item mental health scale intended to assess physical and mental well-being. Respondents are asked to check off any statements that apply to them, with statements covering issues like eye problems, appetite, digestion, fears, sleep, energy, headaches, mood, social comfort, and temperament. Scoring poorly could indicate potential mental health issues requiring further evaluation.

Uploaded by

Shaheda Jamal
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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MENTAL HEALTH SCALE

Instructions:

Below are given some statements regarding your physical and mental well
being. Read them carefully and tick (√) only those items which refer to you.

1. I often get watering of eyes.

2. I feel heaviness of the eyes.

3. I feel burning sensations in the eyes.

4. My appetite is not good.

5. My digestion is poor.

6. I get belching.

7. My taste remains bad.

8. I often get wind formation in stomach.

9. I feel heaviness of stomach and often it gets distended.

10. I have to go to toilet straight after meals.

11. I feel sick in stomach.

12. I get vomiting.

13. I always feel thirsty.

14. I have got fears like – fear of dark, crowds, closed spaces etc.

15. I find trouble in getting off to sleep or staying asleep.

16. I feel run down.


17. I get shakes of hands or body.

18. I suffer from backache.

19. I feel tired all the time.

20. I wish to do everything but can’t.

21. I don’t feel like doing anything.

22. I feel heaviness in the head.

23. I feel as if head is going to explode.

24. I often get headaches.

25. I feel heat coming out of the body.

26. I get pessimistic ideas.

27. I get sinking sensation.

28. I get palpitation of heart.

29. I feel empty headedness.

30. I find difficulty in passing water.

31. I get panic or fainting attacks.

32. I feel edgy.

33. I feel my brain is getting weak.

34. I am becoming forgetful.

35. I feel scared if someone speaks loud.

36. I remain frightened all the times not sure what will happen next.

37. I feel mixed up when i talk to others.

38. I can’t tolerate noises.


39. I get easily irritated.

40. I have become superstitious.

41. Many silly ideas come into my mind.

42. I can’t forget the past happenings.

43. I don’t feel like talking and mixing with others.

44. I feel like crying.

45. I don’t feel happy.

46. I don’t feel interested enough in the family.

47. I feel like going away somewhere.

48. Many time I wish I was dead.

49. I am afraid that I may or have become victim of some incurable disease.

50. I find no relief even after consulting many doctors.

51. I never lose my temper.

52. All my habits are good.

53. I always speak the truth.

54. I always remain calm and composed.

55. Nothing irritates me.

56. I never had anything from anybody.

57. I never indulge in back biting.

58. I don’t like people praising me.

59. I never speak nonsense.

60. I like everybody exception.

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