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MHI-1

Patient's Name: Date: _____/____/____


F M L month day year

ID#: _____________________ Test#: 1 2 3 4

MENTAL HEALTH INVENTORY (MHI)

The next set of questions are about how you feel, and how things have been for you
during the past 4 weeks. If you are marking your own answers, please circle the
appropriate response (0, 1, 2,...). If you need help in marking your responses, tell
the interviewer the number of the best response. Please answer every question. If
you are not sure which answer to select, please choose the one answer that comes
closest to describing you. The interviewer can explain any words or phrases that
you do not understand.

During the past 4 weeks,


how much of the time...
All of Most A good Some A little None
the of the bit of of the bit of of the
time time the time time the time time
1. has your daily life been
full of things that were
interesting to you? 1 2 3 4 5 6

2. did you feel depressed? 1 2 3 4 5 6

3. have you felt loved and


wanted? 1 2 3 4 5 6

4. have you been a very


nervous person? 1 2 3 4 5 6

5. have you been in firm


control of your
behavior, thoughts,
emotions, feelings? 1 2 3 4 5 6
MHI-2

During the past 4 weeks,


how much of the time...
All of Most A good Some A little None
the of the bit of of the bit of of the
time time the time time the time time
6. have you felt tense or
high-strung? 1 2 3 4 5 6

7. have you felt calm and


peaceful? 1 2 3 4 5 6

8. have you felt


emotionally stable? 1 2 3 4 5 6

9. have you felt


downhearted and blue? 1 2 3 4 5 6

10. were you able to relax


without difficulty? 1 2 3 4 5 6

11. have you felt restless,


fidgety, or impatient? 1 2 3 4 5 6

12. have you been moody,


or brooded about
things? 1 2 3 4 5 6

13. have you felt cheerful,


light-hearted? 1 2 3 4 5 6

14. have you been in low


or very low spirits? 1 2 3 4 5 6

15. were you a happy


person? 1 2 3 4 5 6
MHI-3

During the past 4 weeks,


how much of the time...
All of Most A good Some A little None
the of the bit of of the bit of of the
time time the time time the time time
16. did you feel you had
nothing to look
forward to? 1 2 3 4 5 6

17. have you felt so down


in the dumps that
nothing could cheer
you up? 1 2 3 4 5 6

18. have you been


anxious or worried? 1 2 3 4 5 6

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