Counselling Form – Before Below are some statements about Feelings and Thoughts Please tick the box (√) that best describes your experience of each over the last two weeks Your Full Name I`ve been feeling optimistic about the future None of the timeRarelySome of the timeAll of the time I`ve been feeling useful None of the timeRarelySome of the timeAll of the time I`ve been feeling relaxed None of the timeRarelySome of the timeAll of the time I`ve been feeling interested in other people None of the timeRarelySome of the timeAll of the time I`ve had energy to spare None of the timeRarelySome of the timeAll of the time I`ve been dealing with problems well None of the timeRarelySome of the timeAll of the time I`ve been thinking clearly None of the timeRarelySome of the timeAll of the time I`ve been feeling good about myself None of the timeRarelySome of the timeAll of the time I`ve been feeling close to other people None of the timeRarelySome of the timeAll of the time I`ve been feeling confident None of the timeRarelySome of the timeAll of the time I`ve been able to make up my own mind about things None of the timeRarelySome of the timeAll of the time I`ve been feeling loved None of the timeRarelySome of the timeAll of the time I`ve been interested in new things None of the timeRarelySome of the timeAll of the time I`ve been feeling cheerful None of the timeRarelySome of the timeAll of the time Warwick-Edinburgh Mental Well-being Scale (WEMWBS) ©NHS Health Scotland, University of Warwick and University of Edinburgh. 2006, all rights reserved.