About You

Welcome. This confidential mental wellness assessment takes about 5–7 minutes. Your responses help us understand where you are and where we may help.

Crisis support: SADAG 0800 567 567 (free, 24/7) — please reach out to them right now if you are in immediate danger.

This assessment includes:

PHQ-9 — Depression Questionnaire
GAD-7 — Anxiety Questionnaire
PC-PTSD-5 — PTSD Questionnaire

First Name

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Last Name

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Email Address

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Phone Number

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Where are you on your journey with AYZA Health?

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I consent to AYZA Health collecting and processing my health information to support my assessment and care. My information is kept confidential and handled in line with POPIA.

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Source

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About You

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