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LUMINU

TAKE OUR ASSESSMENT

Take this short, confidential self-assessment to help us better understand your needs and guide you toward the right support.

Basic Information

Preferred Contact Method
How did you hear about us?

What Are You Looking For?

What best describes your current needs? (Select one)
I am struggling with my mental health and need therapy (e.g., anxiety, depression, trauma, stress).
I am looking for life coaching to help with personal growth, motivation, career goals, or relationships.
I am unsure and need guidance on whether therapy or coaching is right for me.

Symptom Assessment

(Answer based on the past two weeks)

ANXIETY SCREENING

Anxiety Screening
Feeling afraid, as if something awful might happen?
Not at all
Several days
More than half the days
Nearly every day

DEPRESSION SCREENING

Depression Screening
Thoughts that you would be better off dead or hurting yourself in some way?
Not at all
Several days
More than half the days
Nearly every day

Suicide Risk Rating Scale

(Please answer honestly; your safety is our priority.)

Have you wished you were dead or thought about killing yourself?
No
Yes, briefly
Yes, frequently
Have you had thoughts about how you might do it?
No
Yes, but I don't have a plan
Yes, and I have a specific plan
Have you ever tried to kill yourself?
No
Yes, once
Yes, multiple times
Do you currently have access to means to harm yourself (e.g., weapons, pills, etc.)?
No
Yes (If yes, please call 988 or seek emergency help immediately.)

⚠️ If you selected “Yes” to the above question, please seek emergency help or call a crisis hotline such as 988 (Suicide & Crisis Lifeline) immediately.

Additional Considerations

Have you been diagnosed with a mental health condition before?
Yes
No
Are you currently taking any medication for mental health?
Yes
No
Have you worked with a therapist or coach before?
Yes
No

Next Steps & Call-to-Action

Based on your responses, we will recommend the best service for you!

  • If symptoms indicate moderate-to-severe distress, a therapist will reach out to discuss therapy options.

  • If responses align more with goal-setting and motivation, we will recommend life coaching.

  • If suicide risk is identified, immediate support and crisis resources will be provided.

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