Psychosis & Schizophrenia Test

Psychosis Test

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In the past month, have you had the following thoughts, feelings, or experiences? Check “yes” or “no” for each item.

Do not include experiences that occur only while under the influence of alcohol, drugs or medications that were not prescribed to you.

If you answer “YES” to an item, also indicate how distressing that experience has been for you.

Please note, all fields are required.

1. Do familiar surroundings sometimes seem strange, confusing, threatening or unreal to you?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q1):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

2. Have you heard unusual sounds like banging, clicking, hissing, clapping or ringing in your ears?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q2):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

3. Do things that you see appear different from the way they usually do?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q3):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

4. Have you had experiences with telepathy, psychic forces, or fortune telling?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q4):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

5. Have you felt that you are not in control of your own ideas or thoughts?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q5):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

6. Do you have difficulty getting your point across, because you ramble or go off the track a lot when you talk?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q6):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

7. Do you have strong feelings or beliefs about being unusually gifted or talented in some way?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q7):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

8. Do you feel that other people are watching you or talking about you?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q8):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

9. Do you sometimes get strange feelings on or just beneath your skin, like bugs crawling?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q9):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

10. Do you sometimes feel suddenly distracted by distant sounds that you are not normally aware of?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q10):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

11. Have you had the sense that some person or force is around you, although you couldn’t see anyone?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q11):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

12. Do you worry at times that something may be wrong with your mind?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q12):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

13. Have you ever felt that you don't exist, the world does not exist, or that you are dead?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q13):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

14. Have you been confused at times whether something you experienced was real or imaginary?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q14):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

15. Do you hold beliefs that other people would find unusual or bizarre?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q15):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

16. Do you feel that parts of your body have changed in some way, or that parts of your body are working differently?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q16):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

17. Are your thoughts sometimes so strong that you can almost hear them?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q17):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

18. Do you find yourself feeling mistrustful or suspicious of other people?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q18):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

19. Have you seen unusual things like flashes, flames, blinding light, or geometric figures?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q19):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

20. Have you seen things that other people can't see or don't seem to see?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q20):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

21. Do people sometimes find it hard to understand what you are saying?*

Yes

If YES: When this happens, I feel frightened, concerned, or it causes problems for me (Q21):

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Please take a moment to answer the following optional questions. Your answers are totally anonymous—we won't be able to identify you based on this information. Your answers help us provide better information and support for people like you.

You can answer as many or as few questions as you would like. When you are done, scroll to the bottom of the survey and click "submit" to receive your screening results.

Are you taking this test for yourself or for someone else?

For myself

For someone else

If you are taking this test for someone else, please use that person's information for the questions below, or leave them blank if you don't know the answer. Remember, these questions are optional.

About You

Age Range

Gender

Female

Male

Non-Binary

How would you describe your gender?

Please check this box if you identify as transgender.

Race/Ethnicity

Household Income

Do you live in the United States or another country?

I live in the United States

I live in another country

State

What country do you live in?

Zip/Postal Code

Which of the following populations describes you?

Select all that apply.

Veteran or active-duty military

Caregiver of someone living with emotional or physical illness

LGBTQ+

Student

Trauma survivor

New or expecting parent

Healthcare worker

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Who are you caring for?

Select all that apply.

My spouse or partner

My parent

My child

Another relative

Other...

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Caring For - Other

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As a caregiver, what supports do you need?

The person I'm helping is getting treatment but is getting worse (meds or therapy stopped working)

The person I'm helping is getting treatment but also needs something else (side effects cause other problems, not sure what else to do)

The person I'm helping doesn't want treatment and I want to figure out how to help them

I need help because the stress of caretaking is hard

Other...

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Caregiver Support - Other

Are you caring for someone with a mental or physical health condition?

Mental health condition

Physical health condition

Both mental and physical health conditions

Which of the following best describes your sexual orientation?

What is your sexual orientation?

Which of the following describe your experience of trauma?

Select all that apply.

Child abuse/violence

Intimate partner violence

Sexual assault/violence

Serious illness/injury/assault

Family conflict (identity acceptance/separation/divorce)

Traumatic event (natural disaster, accident, witnessing violence, etc.)

Death of a loved one

Other and/or tell us more about your trauma

Please tell us more about your experience of trauma:

About Your Mental Health

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Have you ever been diagnosed with a mental health condition by a professional (doctor, therapist, etc.)?

Yes

Have you ever received treatment/support for a mental health problem?

Yes

Are you receiving treatment/support now?

Yes

Think about your mental health test. What are the main things contributing to your mental health problems right now?

Choose up to 3.

Abuse or violence

Relationship problems (friends, family, or significant other)

Body image

Low self-esteem or self-image

School or work problems

Financial problems

Loneliness or isolation

Grief or loss of someone or something

Experiencing hate/bullying (including racism, homophobia, transphobia, or discrimination)

State of the world (war, climate, politics)

I don’t know (something just feels wrong)

Other...

What else is contributing to your mental health problems right now?

What about the state of the world is affecting you the most?

About Your Health

Do you currently have health insurance?

Yes

Do you have any of the following physical health conditions?

Select all that apply.

Heart disease

Reproductive health concerns (PCOS, endometriosis, infertility, etc.)

Diabetes

Cancer

Arthritis or other chronic pain

Asthma, COPD or other lung conditions

Movement Disorders (involuntary tics, tardive dyskinesia, etc.)

Digestive problems (Crohn’s, colitis, IBS, etc.)

Neurological conditions (epilepsy, etc.) or traumatic brain injury (TBI)

Other...

What other physical health conditions do you have?

Optional—US residents only: We are researching how your neighborhood impacts your mental health. If you would like to help us, please enter your address or cross streets below.

This information will remain anonymous and confidential. Participation is completely optional.

Disclaimer: This information is for research purposes only in collaboration with researchers at Washington State University and The City College of the City University of New York (CUNY). To protect privacy, we will replace addresses with geo codes randomized to an area up to two streets away from the location you provide. No identifiable information will be shared.

This field is hidden when viewing the form

Address or cross streets

Comments

This field is for validation purposes and should be left unchanged.

Source:

Loewy, Rachel L., et al. (2011). Psychosis risk screening with the Prodromal Questionnaire—Brief Version (PQ-B). Schizophrenia Research 12(1) pp. 42-46.

Screenings with missing answers cannot be scored. A positive score on the Prodromal Questionnaire-Brief Version (PQ-B) suggests the need for further evaluation by a qualified health (M.D., R.N.) or mental health (Ph.D., Psy.D., LCSW) professional who is trained in recognizing the early signs of psychosis. The PQ-B is designed to test for Prodrome or Ultra high-risk of Psychosis and is considered the first step in a two-stage screening process.

Please note: Online screening tools are not diagnostic instruments. You are encouraged to share your results with a physician or healthcare provider. Mental Health America Inc., sponsors, partners, and advertisers disclaim any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of these screens.

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Psychosis & Schizophrenia Test

Psychosis Test

About You

About Your Mental Health

About Your Health

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