Self Rating Questionnaire (SRQ)

Index and self-rating questionnaire to help you assess your current level of need.

Add Your Details Below

Use the slider to note your level of Family Connection. (0 = Connected and 8 = Isolated)
Use the slider to note your level of Connection with Friends. (0 = Connected and 8 = Isolated)
Use the slider to note your level of Skills & Employment. (0 = Excellent and 8 = Little Opportunity)
Use the slider to note your Money situation. (0 = No Problems and 8 = Lots of Problems)
Use the slider to note your level of Support from Services. (0 = Have lots of Support and 8 = Need more Support)
Use the slider to note your level of Addiction. (0 = No Problem and 8 = Big Problem)
Use the slider to note your level of access to Nutrition. (0 = Good Access and 8 = Poor Access)
Use the slider to note your level of access to Transport. (0 = Independent and 8 = Dependent)
Use the slider to note your level of access to Housing. (0 = Excellent and 8 = Not Good)
Use the slider to note your level of Mental and Emotional Wellbeing. (0 = No Problems and 8 = Lots of Problems)
Use the slider to note your level of Caring for Self. (0 = No Problems and 8 = Lots of Problems)
Use the slider to note your level of Caring for Others. (0 = No Problems and 8 = Lots of Problems)
Use the slider to note your level of Personal Safety. (0 = No Worries and 8 = Lots of Worries)
Use the slider to note your level of Legal Issues. (0 = None and 8 = Lots)
Use the slider to note your your Childhood. (0 = Easy and 8 = Difficult)
Use the slider to note your level of Help Needed. (0 = Have Enough and 8 = Need lots More)
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Responsive image Super Fast Mobile App
Responsive image Works Offline

Just Click
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Install Our App Now!

Responsive image Steps to Better Health
Responsive image Steps to Better Health
Responsive image Steps to Better Health

Just Click Responsive image
& Select "Add to Home Screen"