Test taker name:

Date of Assessment

Chinese Report?

Contact Number

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Email Address

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Self Care Test?

Administer By

By proceeding with this mental health screening, you are agreeing to the following:

- You will be evaluated for levels of depression, anxiety, and stress using the DASS-21 scale.
- All information will be kept confidential and is solely for screening purposes.
- Participation is voluntary, and you can withdraw at any time without any consequences.
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By clicking "I Agree" below, you confirm that you understand and consent to the terms outlined above.

1. Depression

2. Anxiety

3. Stress

1. Physical Self-Care

2. Psychological Self-Care

3. Emotional Self-Care

4. Spiritual Self-Care

5. Relationship Self-Care