Project Emotional Health & Well-Being

Gender
MaleFemale

Ethnic Origin
White BritishWhite IrishAny other White backgroundWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other mixed backgroundIndianPakistaniBangladeshiAny other Asian backgroundCaribbeanAfricanAny other black backgroundChineseAny other background

Have you or any member of your family or close friends been employed in any of the following roles?
AdvertisingMarketingFinanceBankingMarket ResearchPublic Relations/MediaJournalismNone of these

How many market research focus groups have you participated in, in the past?
1-3 groups4+ groupsNone

When did you last attend a market research focus group?
In the last 6 monthsOver 6 months agoI have never attended a market research focus group

Working Status
Which of the following best applies to you:

I am working full timeI am working part-timeI am volunteeringI am a student, for example at a secondary school, college or other education institutionI am a carerI am currently on leave long termI am currently at home looking after my childrenUnemployedRetiredOther

Which of the following would you use to describe yourself
HeterosexualLesbianGayBisexualTransUnsure/QuestioningOtherPrefer not to say

Which of the following apply to you?
I have no childrenI am currently pregnantI have at least one child at home aged under 18 and live with my partnerI have at least one child at home aged under 18 and am a single parentI have children who have left home

Have you ever been told by a health professional (doctor or nurse) that you have any of the following conditions: depression, generalised anxiety disorder, eating disorder, panic disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), social anxiety disorder, bipolar disorder, psychosis, a personality disorder or any other condition)?
YesNo

Thinking about the past 6 months up to now, which one of the following statements would you say most closely applies to you?

I think I may have a mental illness or mental health condition but I have not been formally diagnosed.I don’t think I have experienced a mental illness or mental health condition but there are times when some emotions (e.g. anxiety, anger, panic, sadness, feeling low) can be quite intense and sometimes stop me from functioning normally day today.I don’t think I have experienced a mental health problem or get to the point of feeling distressed. Negative emotions like anger, irritation or sadness pass quite quickly. But I think my mental and emotional wellbeing could probably be better than it is right nowAt the moment, I think I’m mentally and emotionally very healthy. On the whole, I feel positive and optimistic. I cope fairly easily with stress and life’s challenges and have good relationships with others

Are you currently having, or have you ever had, any treatment or using any services for the way you are feeling? CODE ALL THAT APPLY

Currently
Prescription medicationTalking therapy services provided through the NHS or privatelyNon-medical treatments or therapiesOther servicesNo treatment

Previously
Prescription medicationTalking therapy services provided through the NHS or privatelyNon-medical treatments or therapiesOther servicesNo treatment

Have you spoken to or sought advice from any of the following about how you feel?
Social WorkerOccupational HealthHuman ResourcesFamily & FriendsWork ColleaguesCommunity WorkerOnline adviceAny other similar to the aboveNone

Thinking about those times when you don’t feel 100%, which of the following two statements most closely relates to you?
There are specific things I do to try and help myself feel betterWhen I don’t feel 100% I tend to just have to wait for it to pass

Which methods/activities do you use to help yourself feel better?

On a scale of 1 to 10, where 1 is ‘not at all’ and 10 is ‘very much’ how concerned would you say you are about how you feel at those times?
12345678910

Which of the following would you be willing to do?

Look up ways to help in books or online
YES, would doNO, wouldn’t do

Ask someone for advice or talk to other people about things you can do to feel better
YES, would doNO, wouldn’t do

On a scale of 1 to 10, where 1 is ‘not at all’ and 10 is ‘very much’ how concerned would you say you are about how you feel at those times?
12345678910

Do you have any registered disabilities?
YesNo

What type of registered disability do you have?
Visual impairmentHearing impairmentMobility impairmentLearning disabilityDisability due to a chronic physical health conditionDisability due to a chronic mental health conditionOther

Are any of the following relevant to you?
I have recently suffered a bereavementI am currently in the process of a divorce or have recently been divorcedI have had direct contact with the criminal justice system in that past 2yearsNone

Which date and time would you like to be interviewed?

Alternative date and time in case first choice is not possible?