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Behavioral Health and Addiction Recovery



Questionnaires

Substance abuse and mental health questionnaires

The following questionnaires are meant to help determine if you may be possibly suffering from substance abuse or substance dependency, anxiety, or a major depressive episode. Call the Methodist Richardson Medical Center HelpLine at 469-204-6920 for more information.

If you are having suicidal thoughts, call 911 or have someone drive you to the nearest emergency room.

Substance Abuse Questionnaire
Answer each question by checking "Yes" or "No." Please review your responses. If you responded "Yes" to any one of items 1 through 4, you may very possibly have a substance abuse problem. If you responded "Yes" to any three (3) of items 5 through 11, you may possibly have a substance dependence problem.

Anxiety Questionnaire
Answer each question by checking "Yes" or "No." Please review your responses. If you checked "Yes" to five (5) or more items (and at least one of the "Yes" checked items was item 1 or item 2), you may possibly be suffering from agoraphobia.
 
Depression Questionnaire
Answer each question by checking "Yes" or "No." Please review your responses.  If you checked "Yes" to five (5) or more items (and at least one of the "Yes" checked items was item 1 or item 2), you may possibly be suffering from a major depressive episode.


The contents of this site are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always consult with your physician or other health care provider regarding any medical conditions or decisions about medical care.

Texas law prohibits hospitals from practicing medicine. The physicians on the Methodist Richardson Medical Center medical staff, including those physicians and psychiatrists practicing in the mental health and addication recovery fields, are independent practitioners who are not employees or agents of Methodist Richardson Medical Center or Methodist Health System.

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Methodist Health System Foundation

P.O. Box 655999 Dallas, Texas 75265-5999  |  1-877-637-4297