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Samaritan Counselling Centre Brief Adult Outcome Questionnaire

Samaritan Counselling Centre Brief Adult Outcome Questionnaire is a survey on Makerble. The Samaritan Counselling Centre Brief Adult Outcome Questionnaire is used to assess mental and physical wellbeing. The survey asks 17 questions and asks the respondents to use a 5 point scale to... It has 17 questions and takes about 3 minutes. It is used by 1 organisation on Makerble.

Shared by Makerble Updated Oct 2026 17 questions Used by 1 organisation

The questions

  1. How often did you feel unhappy or sad?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  2. How often did you believe in God or a higher Power?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  3. How often did you have little or no energy?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  4. How often did you have a hard time getting along with family, friends or coworkers?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  5. How often did you feel hopeless about the future?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  6. How often did you wonder what you did for God to punish you?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  7. How often did you have a hard time paying attention?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  8. How often did you feel unproductive at work or other daily activities?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  9. How often did you feel tense or nervous?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  10. How often did you avoid something because of anxiety or fear?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  11. How often did you have problems with sleep (too much or too little)?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  12. How often did you feel lonely?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  13. How often did you think about harming yourself?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  14. How often did you have someone express concerns about your alcohol or drug use?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  15. How often did you wonder whether God had abandoned you?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  16. How often did you have a problem at work, school, or home because of alcohol or drug use?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often
  17. How often did you feel good about yourself?

    Answer: Scale

    • Never
    • Hardly ever
    • Sometimes
    • Often
    • Very Often

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