This tool looks for patterns in how you’ve been feeling and functioning. It produces screening matches to guide a conversation with a clinician.
This is not a diagnosis and not medical advice.
Safety: If you are in immediate danger or thinking about harming yourself or someone else, seek emergency help now (local emergency number, crisis line, or ER).
How to answer
Answer based on the past few weeks unless the question says otherwise.
If symptoms are mainly from alcohol/drugs/meds or a medical issue, mark that in the rule-out section.
Some sections only show if your answers suggest they’re relevant.
Mode
Who is this screening for?
“Child/Adolescent” mode changes some content and adds a few age-specific items.
Basic Info (optional)
Used only to label your results.
Optional
Name
Age
Sex
Gender identity
Sexual orientation
Race
Have you been to therapy before or sought treatment before?
No
Yes
Have you been diagnosed ever?
No
Yes
If so, what with?
Acknowledgment
By completing this form, I acknowledge that I am voluntarily filling it out. I understand that names on the form will be redacted, but the data may be used to help improve this screening tool and help others. All information will be kept confidential and used only for educational and improvement purposes.
1) Start Here (Core Gates)
These decide which sections unlock next. Answer them first.
Tip If a section doesn’t appear, it didn’t unlock.
2) Rule-Outs (Medical, Sleep, Substance, Grief)
These reduce false positives (symptoms that have a better explanation).
3) Symptom Check (Shared Question Bank)
Questions are reused across multiple conditions so we don’t repeat the same thing 12 times.
Submit hides the form and shows results full-page. PDF export: Print → Save as PDF.
Results (Screening Matches)
These results are not a diagnosis. They are screening-level matches based on your answers.
Bring this to a licensed professional for proper assessment.
Important: Screening percentages are not certainty. They reflect how strongly your answers match common symptom patterns
after applying rule-outs (medical/substance/sleep/grief).
Top matches
Highest matches after rule-outs and confidence adjustments.
Key flags & notes
These affect interpretation. Included in clinician summary.
All conditions (screening index)
Everything is listed with a match %. Most will be low, which is normal.
Clinician summary (EHR-style)
Neutral language, “screening only,” includes rule-outs and timeline cues.