Questback Survey Questionnaire

UCD Logo               

Health and Resilience Following Stress and Adversity

Dear participant,

Thank you for your interest in our study. Before we can begin, we would like to ask you to complete the following four questions. These questions will be used to assess your eligibility to participate in the study. Thank you for taking the time to complete this form. If you have any questions or require any assistance, please feel free to contact us.

University College Dublin (UCD)
School of Psychology
Newman Building,
Dublin 4,
   Tel.: (00353) 87 0988869
 (0041) 44 635 7308
Screening questions (please tick the relevant box)

1. Is English your native language (are you fluent in English)?


2. How old are you?

3. Have you been diagnosed with or are you in treatment for any of the following health problems?

4. Were you ever in an institution in Ireland (i.e., children’s home, reformatory or industrial school) during your childhood and/or adolescence?

Note: Institutional care includes: Orphanage; reformatory; industrial school; children’s home; non-private, state-run boarding schools; psychiatric hospital.