Mental health assessment template
This patient information form is used for mental health assessments.
It includes questions related to the patient's chief complaint, symptoms, mood, sleep, energy, appetite, concentration, thoughts, perception, behavior, medical and mental health history, risk assessment for suicide, homicide, substance abuse, and self-harm, as well as a mental status examination and treatment plan.
Template tags
Mental health assessment survey
Example questions
Patient Information
Chief Complaint
Mental Health Assessment Template Builder
Discover LimeSurvey's mental health assessment survey builder, allowing mental health professionals to easily create and customize assessments that provide valuable information on patient symptoms, history, and risk factors to guide treatment planning and improve patient outcomes.
- Easy and simple to use
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- Questionnaire templates
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