Hope Assessment Checklist
A brief, non-clinical self-assessment of hope, wellbeing, recent feelings, support, and coping resources. Please answer honestly to reflect your recent experiences.
Over the past week, I have felt hopeful about my future.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
I have found ways to cope with challenges in my daily life.
*
Not at all
1
2
3
4
Very much
5
1 is Not at all, 5 is Very much
I have felt supported by people around me.
*
Not at all
1
2
3
4
Very much
5
1 is Not at all, 5 is Very much
I have been able to identify positive things in my life.
*
Rarely
1
2
3
4
Often
5
1 is Rarely, 5 is Often
How would you rate your overall sense of wellbeing this week?
*
1
2
3
4
5
In the past week, how often have you felt overwhelmed?
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
Please indicate how much you agree with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel I can set goals for myself
1
2
3
4
5
I believe things can improve
6
7
8
9
10
I have someone to turn to for help
11
12
13
14
15
I have engaged in activities that bring me joy or meaning.
*
Not at all
1
2
3
4
Completely
5
1 is Not at all, 5 is Completely
Are there resources or people you would like to reach out to for additional support?
*
Yes
No
Maybe
If you would like, please share any thoughts or next steps you are considering.
Submit Assessment
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