Mental Health Form - Tonic Wellbeing

Do you ever check-in with yourself? Do you ask yourself questions? Getting curious about ourselves, about what we need and want, about how we’re doing, is vital to our wellbeing.

This is a quick and easy way to check-in with yourself based on Mental Health Expert, Rob Stephenson’s Daily Mental Form tool.

Simply ask yourself these questions & score each out of 10. At the end you will be given an overall score with a description of what this means.

1. How motivated do I feel today?*
1 2 3 4 5 6 7 8 9 10
2. What are my perceived energy levels?*
1 2 3 4 5 6 7 8 9 10
3. Do simple tasks and decisions feel easy or difficult?*
1 2 3 4 5 6 7 8 9 10
4. How well have I slept lately?*
1 2 3 4 5 6 7 8 9 10
5. Have I exercised well lately?*
1 2 3 4 5 6 7 8 9 10
6. How has my diet been recently?*
1 2 3 4 5 6 7 8 9 10
7. How purposeful do I feel?*
1 2 3 4 5 6 7 8 9 10
8. How connected am I to family and friends?*
1 2 3 4 5 6 7 8 9 10
9. How well am I balancing stress with recovery?*
1 2 3 4 5 6 7 8 9 10
10. How worried or relaxed am I about my finances?*
1 2 3 4 5 6 7 8 9 10
Email*
Consent*
I have read and understood Tonic's Privacy Policy

*Form is used to calculate a daily mental form score, but it is not intended to be a diagnostic tool for mental illness.

If you are concerned about your mental health, please seek help from a local medical professional immediately or call The Samaritans on 116 123

If you want to track your mood and score your wellbeing daily check out: https://formscore.today/

The Tonic And Me App

Find Out More

Tonic's workplace wellbeing app offers unlimited access to a library of health, wellbeing and lifestyle guidance and support.

We know that supporting engagement consistently leads to a more productive, healthier and resilient workforce. Therefore, our unique and innovative approach utilises intuitive digital technology, blended with personalised on-site services delivered by the Tonic team.

Scan the code, click or tap to download the Tonic And Me app