How Our Mental Health Questionnaire Can Help You

Congratulations on deciding to take our free Child Emotion Regulation test.

Please note: this questionnaire was developed by Sullivan + Associates Clinical Psychology to provide a general overview of how much a particular problem or mental health issue impacts you. It is not meant to be diagnostic or replace a formal mental health assessment by a health care practitioner (i.e. Psychologist, Psychiatrist, etc.). However, feel free to use it as a starting point towards learning about improving a particular problem or mental health issue. If you choose to pursue psychotherapy/counselling or discuss your mental health with your Physician or Nurse Practitioner, sharing your results from this questionnaire would provide valuable information.

Benefits of Taking our Mental Health Questionnaire

  • Easy to Do – It’s a rating scale style questionnaire. Just click on the selection that best describes you.
  • Confidential – Your responses and results are 100% confidential.
  • Direction – Suggests helpful next steps, such as suggestions for resources and services based on your responses.
  • Cost Effective – It’s free to use as many times as you want.
  • Quick to Use – It takes approximately 5-10 minutes to complete the test.
  • Immediate Results – You will receive your results immediately upon completing the test.
  • Free Report – If you enter your email address, you will receive a copy of your results. If you chose to provide your email address, your responses and results will remain 100% confidential.
  • Anonymous – You don’t need to provide any identifying information to complete the test.

Child Emotion Regulation Questionnaire

Answer each question, then click submit to see your results.

Child Emotion Regulation Difficulties Mini-Questionnaire
Do not require sleep for several days
Inflated self-esteem
Unusually talkative or full of energy, lasting for at least several days
Racing thoughts and/or hurried speech, lasting for at least several days
Feeling extremely excited, like you can do anything, lasting for at least several days
Sudden burst of confidence, lasting for at least several days
Rapid fluctuations in mood
Difficulty controlling your emotions
Involvement in impulsive/risky behaviours that may have negative consequences
Starting several projects (more than normal) and not completing them
Irritable without being provoked
Given into an aggressive urge that resulted in harm
Bullied others
Stolen from someone
Defiant towards authority figures
Feel like getting revenge
Refusing to do what is asked
Acting reckless
Unable to recognize current emotions
Feeling overwhelmed by/unable to control emotions
Burying/overlooking your emotions
Engaging in self-mutilating, self-harm, or suicidal behaviors
Afraid important people in my life will leave me
Have unstable, unhealthy relationships

Section

Thoughts/feelings of hopelessness, suicidality, homicidality, and/or self-harm were endorsed with respect to your child. For their safety/the safety of others, consider accessing the following resources if they are at imminent risk of harm to themselves or someone else:

1. Call or text the suicide crisis helpline at 988 (available 24/7)

2. Go to the Emergency Department at your local hospital or health centre (807-684-6100 for Thunder Bay)

3. Call 911

4. Contact Crisis Response: They offer mobile crisis response, crisis support residence, and 24/7 telephone services to both youth and adults who are experiencing a mental health crisis. Call or text locally at 807-346-8282 or District of Thunder Bay 1-866-888-8988

5. Kids Help Phone: 24/7 mental health support for youth. Call 1-800-668-6868 or text 686868

6. LGBT Youthline: Confidential, informed support and peer guidance for 2SLGBTQ+ youth. Call, text or chat at 647-694-4275 or https://www.youthline.ca/

7. Contact Hope for Wellness Helpline: Available 24/7 to all Indigenous people across Canada for immediate support and crisis intervention. Call 1-855-242-3310 or chat online www.hopeforwellness.ca

If you are concerned about someone, please read the following for more information on preventing suicide, staying safe, and creating a safety plan:

https://ontario.cmha.ca/documents/preventing-suicide/

https://www.sp-rc.ca/wp-content/uploads/2021/12/Safety_Plan_Basic.pdf

https://988.ca/

https://www.mind.org.uk/for-young-people/information-for-parents/

https://suicideprevention.ca/im-concerned-about-someone/

Do you wish to end the questionnaire here and contact crisis response?
The questionnaire is over. Please contact crisis response.