Free symptom self-assessment — rate severity across mood, anxiety, sleep and functioning, with a personalized AI report for intake and session prep.
Quick answer
Free symptom self-assessment — rate severity across mood, anxiety, sleep and functioning, with a personalized AI report for intake and session prep.
Disclaimer: this page and its AI report are for self-reflection and process reference only. They do not constitute medical, psychological, financial, legal or safety advice. Consult a qualified professional when needed.
Methodology: items are a structural adaptation of widely used frameworks, not an official version; scoring is indicative, not diagnostic.
Where is the client right now — not in theory, but this month? This self-assessment scores frequency and severity across mood, anxiety, sleep, daily functioning and support on anchored scales, then generates a personalized AI report that separates overlapping symptoms. Use it as a shared starting picture at intake, and retake per phase to see which dimension moves.
Sample form and AI report preview (fillable once the app is published).
The symptom, severity, frequency and impact items to rate.
Anchored 1-5 wording instead of vague scales.
Mood, anxiety, sleep, functioning and support reported separately.
An A4 PDF summarizing the pattern for reflection or session prep.
A QR on the report answers questions about the score breakdown.
From copy to a current symptom snapshot in four steps.
Import the form, scoring and report settings into your workspace — free.
Adjust dimensions and wording for your client population.
Share the link or QR before or between sessions.
Open the personalized PDF and use flagged dimensions in session.
Who uses it — clients describing or clinicians triaging.
Turn vague presenting complaints into a dimension-by-dimension starting picture.
Describe current state in concrete terms before asking for help.
Triage intake conversations with structured self-reported data.
What makes this self-assessment worth bringing to session.
The five-dimension severity and frequency items — the live form scores mood, anxiety, sleep, functioning and support, with an AI report.
