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WEMWBS

Please complete this form before the programme begins.


WEMWBS is designed for adults and older teens (aged 16+) and helps us understand how the participant is feeling day-to-day in terms of wellbeing, confidence, mood, resilience, and connection with others.

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The scale focuses on positive wellbeing, giving us a clearer sense of how steady and supported a person feels, and helping us plan sessions in a way that meets them where they are.

Participant Details

Date of Birth:
Day
Month
Year
Completed By:
Participant
Parent/Carer
Referrer / Professional (School / GP / Social Care)

Statements

Below are some statements about feelings and thoughts.


Please tick the box that best describes your experience over the last 2 weeks.

1. I’ve been feeling optimistic about the future
None of the time
Rarely
Some of the time
Often
All of the time
2. I’ve been feeling useful
None of the time
Rarely
Some of the time
Often
All of the time
3. I’ve been feeling relaxed
None of the time
Rarely
Some of the time
Often
All of the time
4. I’ve been feeling interested in other people
None of the time
Rarely
Some of the time
Often
All of the time
5. I’ve had energy to spare
None of the time
Rarely
Some of the time
Often
All of the time
6. I’ve been dealing with problems well
None of the time
Rarely
Some of the time
Often
All of the time
7. I’ve been thinking clearly
None of the time
Rarely
Some of the time
Often
All of the time
8. I’ve been feeling good about myself
None of the time
Rarely
Some of the time
Often
All of the time
9. I’ve been feeling close to other people
None of the time
Rarely
Some of the time
Often
All of the time
10. I’ve been feeling confident
None of the time
Rarely
Some of the time
Often
All of the time
11. I’ve been able to make up my own mind about things
None of the time
Rarely
Some of the time
Often
All of the time
12. I’ve been feeling loved
None of the time
Rarely
Some of the time
Often
All of the time
13. I’ve been interested in new things
None of the time
Rarely
Some of the time
Often
All of the time
14. I’ve been feeling cheerful
None of the time
Rarely
Some of the time
Often
All of the time
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