The RJ4All Rotherhithe Community Centre

+44(0)7708758600 Plough Way London SE16 2LJ, UK
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MH Questionnaire

MH Questionnaire

Welcome to your MH Questionnaire

Name and surname

Age

Your address

Telephone number

Email

Ethnicity

Gender

Nationality

What area of mental health do you want to improve (tick as many as it applies)

Please mark one box only

Have you been referred to a specialist in the past?

Do you suffer from suicidal thoughts?

Has your condition worsen due to COVID19 and the self-isolation measures?

Are you in interested in:

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