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11/21/22, 10:59 PM A Survey on Mental Health Condition of the students and teachers of Public Universities of Bangladesh

A Survey on Mental Health Condition of


the students and teachers of Public
Universities of Bangladesh
* Required

1. Name *

2. Email *

3. What describes you best?


*

Mark only one oval.

I'm about to start university

I'm currently a university student

I'm a graduate student

I'm a recent dropout

I'm a teacher

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11/21/22, 10:59 PM A Survey on Mental Health Condition of the students and teachers of Public Universities of Bangladesh

4. Answer the following questions based on your experience for the last one month (1 *
month)

Mark only one oval per row.

Strongly Disagree Disagree Neutral Agree Strongly Agree

All the tasks you have


performed, are taking
much more time than
usual.

You are facing a lack of


concentration.

You are feeling you have


no future.

You are facing problems


with making decisions.

You feel, your life is sad,


as there is no joy in your
life anymore.

You have lost interest in


all things that were
important to you once
upon a time.

You have been feeling


guilty for everything you
do.

You have been very


irritated and angry
recently.

You have been feeling


very fatigued.

You are feeling that


everything you have
done has been a failure.

You are having a lack of


sleep.

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11/21/22, 10:59 PM A Survey on Mental Health Condition of the students and teachers of Public Universities of Bangladesh

You are having thoughts


of harming yourself.

You have lost or gained


weight without any diet
programs.

You are having a loss of


appetite.

You are having trust


issues with everyone
around you.

You are having trouble


in all your relationships
(home as well as
professional).

You are feeling getting


far away from everyone.

You are having trouble


keeping your mind on
things you were reading,
or watching on
television.

You are having more


trouble with your
memory than usual.

You have seemed life


meaningless lately.

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 Forms

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