Which items are included in a mental health intake questionnaire?

• A. Eating and sleeping habits
• B. Feelings of worthlessness
• C. Hurting yourself or others
• D. Eating and sleeping habits; Feelings of worthlessness; Hurting yourself or others; Emotional issues

Answer: (D)

A mental health intake questionnaire is designed to collect a broad picture of a patient’s current mental state, functioning, and safety so clinicians can assess risk and plan care. Including eating and sleeping habits helps identify changes that can accompany mood disorders, anxiety, or other conditions and shows how symptoms affect daily life. Feelings of worthlessness are a common depressive symptom that helps gauge severity and urgency of intervention. Inquiring about harming yourself or others is essential for immediate safety assessment and crisis planning. Capturing emotional issues in a general sense ensures the intake picks up a range of mood, anxiety, trauma, grief, and coping problems that might not fit neatly into one category. Because these areas together give a comprehensive view of current concerns and safety needs, all of them are typically included in a mental health intake.