CHAT Tool - Offender Health Research Network

Tick No or Yes as appropriate for each question and include additional notes No Yes
Do you sometimes feel guilty about something that has happened (even if you were
not involved)
Do you sometimes feel everything is hopeless
Do these symptoms get in the way of normal life e.g. at home, education, work
settings or with friends
ACTION FOR CARE PLAN
Surname:
DOB:
Forenames:
NHS Number:
CHAT Tool Secure Estate (Version 3 - June 2013)
64 | P age