PreAppointment

Student Wellbeing Pre-Appointment Questionnaire

Introduction

Prior to your appointment, we would ask you to complete a quick CORE10 questionnaire.

This should take a maximum of 5 minutes to complete. Please use a quick response technique, ticking the most relevant answer.

When you next meet with a Wellbeing Adviser, they will consider this information and any impact on your studies, alongside the most appropriate supports for you.

IMPORTANT – PLEASE READ THIS FIRST:

This form has 10 statements about how you have been OVER THE LAST WEEK. Please read each statement and think how often you felt that way last week.

CORE10

Over the last week, I have felt tense, anxious or nervous.

Over the last week, I have felt I have someone to turn to for support when needed.

Over the last week, I have felt able to cope when things go wrong.

Over the last week, talking to people has felt too much for me.

Over the last week, I have felt panic or terror.

Over the last week, I made plans to end my life.

Over the last week, I have had difficulty getting to sleep or staying asleep.

Over the last week, I have felt despairing or hopeless.

Over the last week, I have felt unhappy.

Over the last week, unwanted images or memories have been distressing me.

Your Details

First name

Last name

QUB Email Address

Student Number

Disability and Wellbeing Services

Student Wellbeing Pre-Appointment Questionnaire

Introduction

CORE10

Your Details