Stress & Depression Questionnaire

Set Up Your Confidential Account

• Selecting Go to Questionnaire will take you to ucsdhear.org.
• You will be directed to create a User ID (must be at least 8 characters and must include a combination of numbers and letters) and password.
• Make note of your User ID and password because you will need it to log back into the website. To help maintain your confidentiality, we suggest that you do not use any part of your first or last name in your User ID.

Fill Out The Questionnaire

Once you have established a username and password, you will be directed to the secure online Stress & Depression Questionnaire. Everyone who submits the screening questionnaire will receive a personalized online response and will have the opportunity to engage in anonymous online communications with the clinician.

• Complete confidential questionnaire. This should take you approximately 5 minutes. Skip any questions that you do not want to answer.
• Provide your email address (optional)*

What To Expect After You Submit the Questionnaire

• An experienced clinician will review your questionnaire and will leave a personal response for you on ucsdhear.org, which you may access at your convenience.
  • If you provide your email address, you will receive an email notification for you to log in to view the response.
  • If you do not provide your email address, you will be told after submitting your questionnaire when to return to access the clinician's response.
  • If you have further communication with the counselors and wish to maintain your anonymity, log in to ucsdhear.org
• The clinician's response will include an assessment and any recommendations for further evaluation or follow-up. No other follow-up services will be provided unless you specifically request them.
• You may exchange online messages with the clinician, and if you wish, set up a face-to-face meeting for further evaluation and to talk about recommendations and opportunities that you may find helpful.