CHAT Tool - Offender Health Research Network

Tick No or Yes as appropriate for each question and include additional notes No Yes
Do you feel like spending less time with friends and family (look for patterns of
reduced social contact e.g. no longer playing sport, going into town)
Is there any time of the day when things feel worse (e.g. morning or evening)
If yes, when it happens can you see what might have caused it
Do you still enjoy your usual hobbies and activities
Do you sometimes dislike yourself or feel that everyone is better than you are
Surname:
DOB:
Forenames:
NHS Number:
CHAT Tool Secure Estate (Version 3 - June 2013)
63 | P age