Standard questionnaires · questionnaire

Sample پرسشنامه سلامت روانی کییز (MHC-SF)

فرم کوتاه پیوستار سلامت روانی کییز (MHC-SF) با ۱۴ سؤال درباره‌ی یک ماه گذشته؛ نمره‌ی کل (۰ تا ۷۰)، سه زیرمقیاس بهزیستی هیجانی، اجتماعی و روان‌شناختی و دسته‌ی شکوفا، پژمرده یا متوسط خودکار حساب می‌شود.

14 questions · Free up to 50 responses a month

Print-ready Word and PDF files — free, no sign-up.

About this template

“پرسشنامه سلامت روانی کییز (MHC-SF)” has 14 questions; every question is required. Question types: Single choice (14). 84 ready-made options across 14 choice questions, all editable in the online version.

Questions in this template

  1. 1.

    شاد بوده‌اید؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  2. 2.

    به زندگی علاقه‌مند بوده‌اید؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  3. 3.

    راضی بوده‌اید؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  4. 4.

    احساس کرده‌اید چیزِ مهمی دارید که به جامعه بدهید؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  5. 5.

    احساس کرده‌اید به یک جمع تعلق دارید (مثلاً یک گروهِ اجتماعی یا محله‌تان)؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  6. 6.

    احساس کرده‌اید جامعه‌ی ما برای آدم‌هایی مثلِ شما دارد جای بهتری می‌شود؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  7. 7.

    احساس کرده‌اید مردم ذاتاً خوب‌اند؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  8. 8.

    احساس کرده‌اید سازوکارِ جامعه‌مان برایتان معنادار و قابلِ فهم است؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  9. 9.

    احساس کرده‌اید بیشترِ جنبه‌های شخصیتتان را دوست دارید؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  10. 10.

    احساس کرده‌اید در اداره‌ی مسئولیت‌های زندگیِ روزمره‌تان توانا هستید؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  11. 11.

    احساس کرده‌اید با دیگران رابطه‌های گرم و همراه با اعتماد دارید؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  12. 12.

    احساس کرده‌اید تجربه‌هایی داشته‌اید که شما را به رشد و بهتر شدن واداشته‌اند؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  13. 13.

    احساس کرده‌اید برای فکر کردن یا بیانِ ایده‌ها و نظرهای خودتان اعتمادبه‌نفس دارید؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز
  14. 14.

    احساس کرده‌اید زندگی‌تان جهت یا معنایی دارد؟ *

    (Single choice)
    • هرگز
    • یکی دو بار
    • حدود هفته‌ای یک بار
    • حدود هفته‌ای دو سه بار
    • تقریباً هر روز
    • هر روز

What does the MHC-SF measure?

Positive mental health over the past month in three dimensions: emotional well-being (happiness, interest and satisfaction), social well-being (contribution, integration, actualisation, acceptance and coherence) and psychological well-being (self-acceptance, environmental mastery, positive relations, growth, autonomy and purpose). It treats mental health as more than the absence of illness and places each person on a continuum from languishing to flourishing.

Number of items
14
Time to complete
About 3 minutes
Score range
Total 0 to 70; emotional 0 to 15, social 0 to 25, psychological 0 to 30
Reversed items
None
Response scale
Six options: never (0), once or twice (1), about once a week (2), about 2 or 3 times a week (3), almost every day (4), every day (5)
Authors
Corey Keyes, 2002; short form: Keyes, 2005 and 2009

Scoring the MHC-SF

  1. Never = 0, once or twice = 1, about once a week = 2, about 2 or 3 times a week = 3, almost every day = 4, every day = 5; there are no reversed items.
  2. Emotional well-being: items 1–3. Social well-being: items 4–8. Psychological well-being: items 9–14. The total is the sum of the fourteen items (0 to 70).
  3. "Flourishing": at least one of the three emotional items and at least six of the eleven items 4–14 answered "every day" or "almost every day". "Languishing": at least one of the three emotional items and at least six of the eleven items 4–14 answered "never" or "once or twice". Everyone else is "moderately mentally healthy".
  4. This template calculates the total, the three subscales and each respondent's category automatically, each in its own Excel and SPSS column.

Interpreting MHC-SF scores

ScoreLevelSuggested action
≥ 1 emotional and ≥ 6 functioning items "every day" or "almost every day"Flourishing—
≥ 1 emotional and ≥ 6 functioning items "never" or "once or twice"Languishing—
All other patternsModerately mentally healthy—

Keyes gives this categorical diagnosis rule in his official description of the MHC-SF (2009); the continuous score (0 to 70) can also be used in research. Languishing means the absence of positive mental health, not a mental illness.

MHC-SF validity and reliability

  • According to Keyes (2009), each of the three subscales has internal consistency above .80, and the three-factor structure (emotional, social and psychological) has been confirmed in US adults, college students and adolescents.
  • Four-week test–retest correlations (as cited by Keyes, 2009): emotional .64, social .71 and psychological .57.
  • Lamers et al. (2011) confirmed the three-factor structure in a Dutch sample of 1,662 people.

Using the MHC-SF in your thesis with Porsino

  1. Sign up for free and click "Build a form from this template"; the items, options and every option's score (reversed items included) are ready.
  2. If you need demographic questions (age, gender, education), add them on a separate page; keep the item wording and order unchanged so the scoring stays valid.
  3. Publish the form and send its short link or QR code to your research sample; respondents fill it in without signing up and see their score and its interpretation at the end.
  4. Each respondent's total score and level are saved automatically in separate columns; export to Excel or SPSS from the responses page and go straight to analysis.

Source and translation

Original instrument: Corey Keyes, 2002; short form: Keyes, 2005 and 2009

  • Keyes, C. L. M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43(2), 207–222.
  • Keyes, C. L. M. (2005). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73(3), 539–548.
  • Keyes, C. L. M. (2009). Brief description of the Mental Health Continuum Short Form (MHC-SF). Atlanta: Emory University.
  • Lamers, S. M. A., Westerhof, G. J., Bohlmeijer, E. T., ten Klooster, P. M., & Keyes, C. L. M. (2011). Evaluating the psychometric properties of the Mental Health Continuum-Short Form (MHC-SF). Journal of Clinical Psychology, 67(1), 99–110.

In his official description of the MHC-SF (2009), Keyes states that although the scale is copyrighted it may be used as long as proper credit is given, that permission is not needed, and that individual requests are not answered because permission is granted in that note.

Translated by Porsino; for formal research, cite a validated (normed) Persian version.

Frequently asked questions about the MHC-SF

How many items does the MHC-SF have?

The short form has 14 items: 3 on emotional, 5 on social and 6 on psychological well-being.

What do "flourishing" and "languishing" mean on the MHC-SF?

A flourishing person experiences at least one sign of emotional well-being and six of the eleven signs of positive functioning almost every day; a languishing person experiences the same number never or only once or twice a month. Everyone else is in between.

Does "languishing" mean mental illness?

No. The MHC-SF measures positive mental health and is not a diagnostic tool; languishing means a lack of well-being, not a mental disorder.

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you

Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too

How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “پرسشنامه سلامت روانی کییز (MHC-SF)”.
  3. Change the questions as you like, publish the form and send the link.
All standard questionnaires