Step 1

This questionnaire will take you approximately 25 minutes to complete. Once completed, you'll receive an email with login details where you can securely access your free wellness score. If you have already part completed this questionnaire, you can login and continue your existing session.

What will happen to my personal information?

Statistical data collected from The Mental Health Report will be collected, anonymously aggregated (used in a way that ensures individuals can't be identified), and used to further improve on any wellness and lifestyle related services offered in the future. Basically, this data could help us to learn some pretty amazing things we don't already know about wellbeing, and in the future it could help us create better tools that further support more people on their journey back to wellness. More information about how we collect and use your information is in our privacy policy.

Enter Your Details

Your Name

Email Address

Sex Male   Female

Date of Birth
(dd/mm/yyyy)

Weight kgs
(1 kg = 2.204 pounds) Select 25 kgs 26 kgs 27 kgs 28 kgs 29 kgs 30 kgs 31 kgs 32 kgs 33 kgs 34 kgs 35 kgs 36 kgs 37 kgs 38 kgs 39 kgs 40 kgs 41 kgs 42 kgs 43 kgs 44 kgs 45 kgs 46 kgs 47 kgs 48 kgs 49 kgs 50 kgs 51 kgs 52 kgs 53 kgs 54 kgs 55 kgs 56 kgs 57 kgs 58 kgs 59 kgs 60 kgs 61 kgs 62 kgs 63 kgs 64 kgs 65 kgs 66 kgs 67 kgs 68 kgs 69 kgs 70 kgs 71 kgs 72 kgs 73 kgs 74 kgs 75 kgs 76 kgs 77 kgs 78 kgs 79 kgs 80 kgs 81 kgs 82 kgs 83 kgs 84 kgs 85 kgs 86 kgs 87 kgs 88 kgs 89 kgs 90 kgs 91 kgs 92 kgs 93 kgs 94 kgs 95 kgs 96 kgs 97 kgs 98 kgs 99 kgs 100 kgs 101 kgs 102 kgs 103 kgs 104 kgs 105 kgs 106 kgs 107 kgs 108 kgs 109 kgs 110 kgs 111 kgs 112 kgs 113 kgs 114 kgs 115 kgs 116 kgs 117 kgs 118 kgs 119 kgs 120 kgs 121 kgs 122 kgs 123 kgs 124 kgs 125 kgs 126 kgs 127 kgs 128 kgs 129 kgs 130 kgs 131 kgs 132 kgs 133 kgs 134 kgs 135 kgs 136 kgs 137 kgs 138 kgs 139 kgs 140 kgs 141 kgs 142 kgs 143 kgs 144 kgs 145 kgs 146 kgs 147 kgs 148 kgs 149 kgs 150 kgs 151 kgs 152 kgs 153 kgs 154 kgs 155 kgs 156 kgs 157 kgs 158 kgs 159 kgs 160 kgs 161 kgs 162 kgs 163 kgs 164 kgs 165 kgs 166 kgs 167 kgs 168 kgs 169 kgs 170 kgs 171 kgs 172 kgs 173 kgs 174 kgs 175 kgs 176 kgs 177 kgs 178 kgs 179 kgs 180 kgs 181 kgs 182 kgs 183 kgs 184 kgs 185 kgs 186 kgs 187 kgs 188 kgs 189 kgs 190 kgs 191 kgs 192 kgs 193 kgs 194 kgs 195 kgs 196 kgs 197 kgs 198 kgs 199 kgs 200 kgs 201 kgs 202 kgs 203 kgs 204 kgs 205 kgs 206 kgs 207 kgs 208 kgs 209 kgs 210 kgs 211 kgs 212 kgs 213 kgs 214 kgs 215 kgs 216 kgs 217 kgs 218 kgs 219 kgs 220 kgs 221 kgs 222 kgs 223 kgs 224 kgs 225 kgs 226 kgs 227 kgs 228 kgs 229 kgs 230 kgs 231 kgs 232 kgs 233 kgs 234 kgs 235 kgs 236 kgs 237 kgs 238 kgs 239 kgs 240 kgs 241 kgs 242 kgs 243 kgs 244 kgs 245 kgs 246 kgs 247 kgs 248 kgs 249 kgs 250 kgs 251 kgs 252 kgs 253 kgs 254 kgs 255 kgs 256 kgs 257 kgs 258 kgs 259 kgs 260 kgs 261 kgs 262 kgs 263 kgs 264 kgs 265 kgs 266 kgs 267 kgs 268 kgs 269 kgs 270 kgs 271 kgs 272 kgs 273 kgs 274 kgs 275 kgs 276 kgs 277 kgs 278 kgs 279 kgs 280 kgs 281 kgs 282 kgs 283 kgs 284 kgs 285 kgs 286 kgs 287 kgs 288 kgs 289 kgs 290 kgs 291 kgs 292 kgs 293 kgs 294 kgs 295 kgs 296 kgs 297 kgs 298 kgs 299 kgs 300 kgs 301 kgs 302 kgs 303 kgs 304 kgs 305 kgs 306 kgs 307 kgs 308 kgs 309 kgs 310 kgs 311 kgs 312 kgs 313 kgs 314 kgs 315 kgs 316 kgs 317 kgs 318 kgs 319 kgs 320 kgs 321 kgs 322 kgs 323 kgs 324 kgs 325 kgs 326 kgs 327 kgs 328 kgs 329 kgs 330 kgs 331 kgs 332 kgs 333 kgs 334 kgs 335 kgs 336 kgs 337 kgs 338 kgs 339 kgs 340 kgs 341 kgs 342 kgs 343 kgs 344 kgs 345 kgs 346 kgs 347 kgs 348 kgs 349 kgs 350 kgs 351 kgs 352 kgs 353 kgs 354 kgs 355 kgs 356 kgs 357 kgs 358 kgs 359 kgs 360 kgs 361 kgs 362 kgs 363 kgs 364 kgs 365 kgs 366 kgs 367 kgs 368 kgs 369 kgs 370 kgs 371 kgs 372 kgs 373 kgs 374 kgs 375 kgs 376 kgs 377 kgs 378 kgs 379 kgs 380 kgs 381 kgs 382 kgs 383 kgs 384 kgs 385 kgs 386 kgs 387 kgs 388 kgs 389 kgs 390 kgs 391 kgs 392 kgs 393 kgs 394 kgs 395 kgs 396 kgs 397 kgs 398 kgs 399 kgs 400 kgs

Height cm
(1 cm = 0.393 inches) Select 54 cm 55 cm 56 cm 57 cm 58 cm 59 cm 60 cm 61 cm 62 cm 63 cm 64 cm 65 cm 66 cm 67 cm 68 cm 69 cm 70 cm 71 cm 72 cm 73 cm 74 cm 75 cm 76 cm 77 cm 78 cm 79 cm 80 cm 81 cm 82 cm 83 cm 84 cm 85 cm 86 cm 87 cm 88 cm 89 cm 90 cm 91 cm 92 cm 93 cm 94 cm 95 cm 96 cm 97 cm 98 cm 99 cm 100 cm 101 cm 102 cm 103 cm 104 cm 105 cm 106 cm 107 cm 108 cm 109 cm 110 cm 111 cm 112 cm 113 cm 114 cm 115 cm 116 cm 117 cm 118 cm 119 cm 120 cm 121 cm 122 cm 123 cm 124 cm 125 cm 126 cm 127 cm 128 cm 129 cm 130 cm 131 cm 132 cm 133 cm 134 cm 135 cm 136 cm 137 cm 138 cm 139 cm 140 cm 141 cm 142 cm 143 cm 144 cm 145 cm 146 cm 147 cm 148 cm 149 cm 150 cm 151 cm 152 cm 153 cm 154 cm 155 cm 156 cm 157 cm 158 cm 159 cm 160 cm 161 cm 162 cm 163 cm 164 cm 165 cm 166 cm 167 cm 168 cm 169 cm 170 cm 171 cm 172 cm 173 cm 174 cm 175 cm 176 cm 177 cm 178 cm 179 cm 180 cm 181 cm 182 cm 183 cm 184 cm 185 cm 186 cm 187 cm 188 cm 189 cm 190 cm 191 cm 192 cm 193 cm 194 cm 195 cm 196 cm 197 cm 198 cm 199 cm 200 cm 201 cm 202 cm 203 cm 204 cm 205 cm 206 cm 207 cm 208 cm 209 cm 210 cm 211 cm 212 cm 213 cm 214 cm 215 cm 216 cm 217 cm 218 cm 219 cm 220 cm 221 cm 222 cm 223 cm 224 cm 225 cm 226 cm 227 cm 228 cm 229 cm 230 cm 231 cm 232 cm 233 cm 234 cm 235 cm 236 cm 237 cm 238 cm 239 cm 240 cm 241 cm 242 cm 243 cm 244 cm 245 cm 246 cm 247 cm 248 cm 249 cm 250 cm

Country Select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bosnia and Herzegovina Botswana Bouvet Island Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Keeling Islands Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Ivory Coast Croatia Hrvatska Cuba Cyprus Czech Republic Czechoslovakia Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France France Metropolitan French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain (UK) Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles Neutral Zone New Caledonia New Zealand Nicaragua Niger Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal PR Puerto Rico Qatar Reunion Romania Rwanda S. Georgia Saint Kitts and Nevis Saint Lucia Saint Vincent Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Viet Nam Virgin Islands British Virgin Islands U.S. Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe

In The Region/State Of Select No Region Sydney Melbourne Brisbane Perth Adelaide Gold Coast Canberra Wollongong Logan City New South Wales Queensland Northern Territory Western Australia South Australia Victoria Tasmania Montreal Toronto Vancouver Calgary Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Northland Auckland Waikato Bay of Plenty Gisborne Hawkes Bay Taranaki Manawatu/Wanganui Wellington Nelson/Tasman Marlborough West Coast Canterbury Otago Southland Christchurch London Scotland Ireland Northern Ireland England Wales North East North West Yorkshire and the Humber East Midlands West Midlands East of England South East South West Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

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