The BePure Food, Mood & Anxiety Questionnaire is intended to help you understand your mind-body connection and how nutrients can play a part in how you feel, from the inside out.
It takes no longer than 5-10 minutes to complete.
Please note that this is a subjective questionnaire that is not intended to treat, diagnose or cure.
Part One is designed to measure your nutrient status and lifestyle.
Part Two is the DASS questionnaire, which is designed to measure the three related negative emotional states of depression, anxiety and stress.
Note that your personal information is held in strict confidence.
Use the below guide to answer each question
Never = 0 times per week
Occasionally = 1 time per week
Often = 2-3 times per week
Frequently = 4 or more times per week
Please enter your details below to begin
Remember that this is a subjective questionnaire, but it a good place to start to gather some insights about the role that nutrition plays in your mental wellness.
Please note that emotional syndromes like anxiety and mood (depression) vary along a spectrum of severity and while this questionnaire offers insights, it is not a categorical measure of clinic diagnoses.
You are doing well in these areas! Focus on staying balanced to keep on track.Mood, anxiety and stress
You are within the average population range. With the stresses of the modern day world, you may still benefit from strategies to bring more calm into your life, to stay on track. still benefit from strategies to bring more calm into your life.
You are doing a lot of things right in these areas, however, there is still room for improvement.Mood, anxiety and stress
You are above the population average, but probably way below the typical severity of someone seeking help (i.e., it does not mean a mild level of disorder).
There is an opportunity to improve your diet and lifestyle practices to improve your experience of life.Mood, anxiety and stress
You are significantly higher than the population average and there would be some benefit to implementing strategies to improve these areas of life.
There is a lot more you can be doing to improve your diet and lifestyle practices to improve your experience of life.Mood, anxiety and stress
You are at the higher end of the populations severity and would benefit from implementing strategies to improve these areas
Please see your GP if you have concerns regarding your mood and anxiety.
If your situation is an emergency, or if you or someone is at risk, call 111.
For support, you can contact: 1737, Need to Talk? Free call or text anytime for support from a trained counsellor. Lifeline 0800 543 354 or (09) 5222 999 within Auckland
In health and happiness,
Ben and the BePure Team
This questionnaire has been developed by the BePure nutritional team as a tool to raise general health awareness, and is not designed to diagnose or treat health concerns.
By completing the BePure Food, Mood & Anxiety Questionnaire you agree to receive further communications from BePure.
© BePure, 2017. Except as provided by the Copyright Act, no part of this document may be reproduced in any form without the prior written permission of BePure Health Limited.
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