noesisnoesis

Well-Being & Mental Health: questions and answers

110 questions across 24 tests in this category.

AUDIT: the World Health Organization alcohol use test

Does a score of 8 or more mean I am an alcoholic?

No. Eight is the score the World Health Organization manual gives as an indicator of hazardous and harmful drinking, and hazardous has a narrow meaning: a pattern that raises the risk of harm, whether or not any harm has happened. That is a reason to look, not a finding, and dependence is a separate clinical category that ten questions cannot establish. The manual is explicit about how movable the line is: it publishes 10 for greater specificity, and 7 for all women and for anyone over 65, and it notes that the right cutoff varies with a country's drinking patterns and with the size of a standard drink there. What a high score does say is worth taking seriously anyway. It is just not a diagnosis, and only a professional evaluation can produce one.

Does the World Health Organization endorse NOESIS?

No, and it is worth stating plainly. The World Health Organization granted NOESIS written permission to reproduce the AUDIT on this platform, under Permission Request No. MRR-048859. Permission to use an instrument is not approval of the platform that uses it. The World Health Organization does not endorse, sponsor, certify or recommend NOESIS, its reports or its other tests, and it has not reviewed any of them. What comes from the World Health Organization is the questionnaire, its scoring rule and its risk zones. Everything else on this page is ours.

Which of these six languages is the World Health Organization's text, and which is yours?

Two of the six are theirs and four are ours. English and Spanish are the questionnaires the World Health Organization published itself, reproduced word for word. Portuguese, Italian, French and German are NOESIS translations of the English original. The World Health Organization did not write those four, did not review them and did not approve them, and it takes no responsibility for their accuracy. The English version is the authentic text, which is what settles any difference between languages. We say the same thing on the instruction screen before you start and in the copyright notice beside the questionnaire, because a translation nobody authenticated should not be able to pass for one that was.

Why are the French and German versions yours and not the World Health Organization's?

Because we asked for theirs and were told to write our own. Annex C of the WHO manual states that French and German versions of the AUDIT exist and are supplied on written request to the department that held them, and the permission we operate under requires the official translation to be used as published wherever one exists. So we wrote and asked. The answer, which forms part of that same permission, is that WHO will not supply the pending versions and that we may use translations prepared by NOESIS, provided they are clearly identified as NOESIS translations and are never presented as official WHO translations or as translations reviewed, approved or endorsed by WHO. English remains the authentic source text. If WHO later identifies an official French or German version, ours is replaced by it.

Question 3 asks about six or more drinks. Six of what?

Of a standard drink, which is roughly 10 grams of pure alcohol in most European definitions and 14 in the United States. That is close to a 330 ml beer at 4 percent, a 100 ml glass of wine, or a 30 ml measure of spirits. The manual allows the number in question 3 to be lowered to four or five in countries where a standard drink is larger, and we deliberately did not do that: a single web questionnaire is answered from every country at once, so there is no local standard to adapt to, and changing the number would change the score for everyone who does not live in the country we picked. It stays as published. If your usual drinks are stronger or larger than a standard drink, count them as more than one.

Who can see my results?

This test is flagged as sensitive in NOESIS. Your results belong to you. If you ever take it inside a corporate program, individual results of sensitive tests are never shown to your employer without your explicit per-test consent, which defaults to off. That is a platform rule, not a courtesy. An alcohol screening result is also the last thing that belongs in a hiring decision, which is why this test is marked unsuitable for recruitment.

CES-D: Center for Epidemiologic Studies Depression Scale

Is this a diagnosis of depression?

No. The CES-D is a screening instrument: it counts how often depressive symptoms occurred in your week, and a score at or above 16 means your symptom frequency resembles what studies treat as a positive screen. Radloff herself called that threshold arbitrary. A diagnosis of depression requires a clinical evaluation by a professional, which no questionnaire replaces.

How is this different from the PHQ-9?

Three ways. The PHQ-9 maps the nine DSM criteria over a two-week window and measures severity; the CES-D covers a single week, asks on how many days each symptom occurred, and includes four positive affect items the PHQ family leaves out. The PHQ-9 is the standard of clinical practice; the CES-D is the standard of population research, the scale behind most epidemiologic surveys since 1977. Taking both gives two angles on the same terrain.

What does a score of 16 mean?

It is the classic cutoff, published with the scale in 1977: in Radloff's data, 70% of psychiatric patients scored at or above 16 against 21% of the general population. A 2016 meta-analysis of 28 studies found sensitivity of 0.87 and specificity of 0.70 at that threshold, and noted that a cutoff of 20 produces fewer false positives. Crossing 16 is a reason to pay attention and consider talking to a professional, not a verdict.

Why does it ask whether I was happy or enjoyed life?

Four items are worded positively on purpose: feeling as good as other people, feeling hopeful, being happy, enjoying life. Radloff included them to break automatic answering patterns and to measure the absence of positive feeling, which is a part of depression that pure symptom lists miss. They are scored in reverse, so rarely being happy raises the score the same way often feeling sad does.

Why only one week? My mood changes all the time.

That is the design. The CES-D measures a current state, not a stable trait: retest correlations sit between 0.45 and 0.70 precisely because the state moves with life events. The short window is what makes re-measurement meaningful. In Radloff's treatment data, recovered patients dropped around 20 points in four weeks. Take it now, and again after something changes.

Chronotype Assessment

What exactly is a chronotype?

Your chronotype is the phase your internal clock prefers: when your body wants to sleep, wake, eat, and perform. It is a real, measurable individual difference. Early and late types differ in the timing of body temperature, melatonin release, and alertness across the day. Most people sit somewhere between the two extremes, which is why this assessment returns a continuous score instead of sorting you into one of two boxes.

Does chronotype change with age?

Yes, in a fairly predictable arc. Adolescents shift late, which is why early school hours hit teenagers so hard. From early adulthood on, the clock drifts slowly toward the morning; research on the original questionnaire found older adults scoring markedly more morning-oriented than students. Your score is a photograph of your rhythm now, not a life sentence. Retaking the test after a few years can show real movement.

Can I train myself to become a morning person?

Partly, and it is honest to say only partly. Light exposure, consistent wake times, and habit can shift your rhythm by a meaningful amount, and many late types function well on a morning schedule they built carefully. What the evidence does not support is full conversion: chronotype has a biological component, and a strong evening type who forces a 5:00 start usually pays in chronic sleep debt rather than becoming a lark. Negotiating with your clock tends to work better than declaring war on it.

How is this different from the playful chronotype quiz in the catalogue?

The playful quiz is entertainment: a short, fun sketch of your habits with a shareable profile at the end. This assessment is the structured step. It mirrors the design of a classic morningness questionnaire, weighs every answer, and returns a continuous score from 19 to 81 with five interpretation bands, so you can compare results over time or against another person's. If you enjoyed the quiz and want a number you can actually work with, this is that.

Is this the Horne and Östberg questionnaire (MEQ)?

No, and we say so plainly. The MEQ is a copyrighted instrument, and its published statistics and cutoff scores belong to it. This assessment mirrors its structure (time-window questions, weighted options, a summed score), but every item was written independently by NOESIS, and the score bands are NOESIS interpretation labels, not the MEQ's published cutoffs. If you need the validated original for research or clinical work, license it from its rights holders.

My work schedule decides my hours. What should I answer?

Answer for the rhythm your body would keep if the schedule vanished. The instructions ask about your natural preference precisely because obligations mask it: an evening type can wake at 6:00 for years without ever becoming a morning person. If you do shift work or your hours rotate, answer from your free days, and read the result knowing that a rotating schedule adds noise no questionnaire can remove.

Coping Strategies Assessment

What does this assessment measure?

It measures 14 distinct coping strategies including active coping, planning, emotional support, humor, denial, substance use, and others. No strategy is inherently good or bad — context matters.

Why do some subscale scores feel less stable?

Each of the 14 coping strategies is measured by just 2 items. This means individual subscale scores are less stable than longer scales — they capture a snapshot, not a precise measurement. Focus on patterns across multiple strategies rather than any single subscale score.

What do high and low scores mean?

Read your profile relative to itself: which strategies you reach for most. Active coping, planning, reframing, acceptance, and support-seeking are generally adaptive; heavy reliance on denial, disengagement, substance use, or self-blame predicts worse adjustment over time. Context matters — distraction that is harmful during a solvable crisis can be healthy while awaiting news you cannot influence.

Emotional Distress Assessment (21 items)

What do high and low scores mean?

Each scale is read separately against severity bands, from normal to very elevated — high depression with low anxiety is a different picture from the reverse. Elevated scores describe symptom load, not a diagnosis: if scores are high or you feel unsafe, treat that as a concrete signal to talk to a mental-health professional.

Emotional Distress Assessment (42 items)

Financial Well-Being Scale (CFPB)

Why do you need my date of birth for this test?

Because the official scoring requires it. The CFPB calibrated the scale with item response theory and found the same answers carry slightly different weight for adults 18-61 and adults 62 and older — so the Bureau publishes separate conversion tables by age group, and the scoring worksheet itself asks for your age band. We use your date of birth once, to pick the official table; without it your 0-100 score could not be computed as published.

Is this about how much money I have?

No — and that is the point of the instrument. The CFPB defines financial well-being as a state: being able to meet obligations, feeling secure about the future, and having the freedom to make choices that let you enjoy life. Research with the scale shows people at the same income score very differently. A high earner one missed paycheck from panic can score lower than a modest earner with slack in the system.

What does my 0-100 score mean?

It places you on the same ruler the CFPB used to measure the U.S. adult population in 2016: the national average is 54, half of U.S. adults score between 46 and 63, and scores below 37 or above 72 mark roughly the outer tenths of the distribution. There is no official pass/fail line — the Bureau deliberately publishes no cutoffs — so your report describes where you sit on that distribution, not a diagnosis.

The benchmark is American. Does my score still mean something elsewhere?

The score itself does: the ten items ask about experiences — handling a surprise expense, money left at month's end — that are not specific to any country. The comparison point, however, is explicitly the U.S. adult population, and we label it that way throughout your report. A Brazilian validation study found the scale kept its structure and reliability in another economy, which supports the construct traveling; the benchmark numbers stay American.

Who sees my answers? This is my financial life.

This test is flagged as sensitive in NOESIS precisely because finances are personal. Your results belong to you. If you ever take it in a corporate program, sensitive-test results are never shown individually to your employer without your explicit per-test consent, which defaults to off — that is a platform rule, not a promise.

Can my score change, and how would I know it did?

It is designed to move — it measures a state, not a trait. The CFPB built the scale so that programs, habits, and life events could be evaluated by re-measurement. A practical rhythm: take it now, act on whatever the low items point at (a buffer for surprises, one automated saving), and take it again in six months. Because the scoring is anchored by IRT, a change of a few points is signal, not noise.

Flourishing Assessment

What does this assessment measure?

It measures well-being across five PERMA pillars: Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment — plus health, negative emotion, loneliness, and overall happiness.

Is this test scientifically validated?

It is built on Seligman's PERMA model as operationalized in the PERMA-Profiler (Butler & Kern, 2016), with published scale reliabilities of α = 0.68-0.92 for the represented constructs. The items are a NOESIS adaptation — independently written and not independently validated — so treat results as structured self-reflection.

What do high and low scores mean?

Each PERMA pillar is scored separately, so the point is the shape, not the total: a life strong in accomplishment but weak in relationships flourishes differently from the reverse. Negative emotion and loneliness count inversely — lower is better there — while health and overall happiness give context to the five pillars.

GAD-7: Generalized Anxiety Disorder Scale

Life Satisfaction Assessment

Is this test scientifically validated?

It is built on the life satisfaction construct of Diener et al. (1985), the most widely used measure of subjective well-being in research. The items are a NOESIS adaptation (α = 0.87) — independently written and not independently validated — so treat results as structured self-reflection.

What do high and low scores mean?

High scores mean your life, judged as a whole, feels close to your own ideal; low scores mean there is a real gap between the life you have and the life you want. Because the judgment is cognitive rather than mood-based, scores respond to genuine life changes — which also makes this a useful measure to retake after big transitions.

Meaning in Life Assessment

What does this assessment measure?

It measures two aspects of meaning: Presence (do you currently perceive your life as meaningful?) and Search (are you actively seeking purpose?). These are independent — you can have both, neither, or one without the other.

Is this test scientifically validated?

It is built on the meaning in life framework of Steger et al. (2006), whose presence/search distinction is a cornerstone of meaning research. The items are a NOESIS adaptation (α = 0.84-0.89) — independently written and not independently validated — so treat results as structured self-reflection.

What do high and low scores mean?

The two scales read together: high presence with low search often means settled purpose; low presence with high search is common during transitions and is not a bad sign — searching predicts later meaning. Low on both can signal disengagement worth attending to; high on both describes a meaningful life still under construction.

Mindfulness Assessment

What does this assessment measure?

It measures five facets of mindfulness: Observing (noticing sensations), Describing (labeling experiences), Acting with Awareness (present-moment attention), Non-Judging (accepting experiences), and Non-Reactivity (letting feelings pass).

Is this test scientifically validated?

It is built on the five-facet model of mindfulness (Baer et al., 2006), the dominant framework for measuring mindfulness as a skill. The items are a NOESIS adaptation (α = 0.69-0.83) — independently written and not independently validated — so treat results as structured self-reflection.

What do high and low scores mean?

Each facet is scored separately because they grow separately: meditators often score high on observing first, while non-judging and non-reactivity tend to develop last — and matter most for well-being. Your lowest facet is usually the most useful place to point your practice.

Optimism Test

What does this test measure?

It measures dispositional optimism — your stable tendency to expect positive outcomes. This is about general life expectations, not momentary mood.

Can optimism be changed?

Research shows that while dispositional optimism is relatively stable, cognitive-behavioral techniques can help shift thought patterns toward more optimistic expectations.

Is this test scientifically validated?

It uses 10 public-domain IPIP items (α = 0.86) targeting the dispositional optimism construct of Scheier, Carver & Bridges (1994), whose links to well-being and physical health are among the best documented in the field.

PCL-5: PTSD Checklist for DSM-5

What does this test measure?

It measures the severity of PTSD symptoms across four clusters: Intrusion (flashbacks, nightmares), Avoidance (avoiding reminders), Negative Cognition and Mood (guilt, detachment), and Arousal/Reactivity (hypervigilance, startle response).

Is this test scientifically validated?

Yes. The PCL-5 has excellent psychometric properties with internal consistency alpha of 0.94 and test-retest reliability of 0.82 (Blevins et al., 2015). It is the standard PTSD screening tool recommended by the VA/NCPTSD.

Should I take this test without professional support?

This test asks about traumatic experiences and PTSD symptoms, which can be distressing. Professional guidance is recommended, especially when interpreting results or if you experience strong emotional reactions during the assessment.

What score indicates possible PTSD?

A total score of 31-33 is commonly used as the preliminary cutoff for probable PTSD, though clinical diagnosis requires professional evaluation. The PCL-5 is a screening tool, not a diagnostic instrument.

Perceived Stress Assessment

What does this assessment measure?

It measures perceived stress — how unpredictable, uncontrollable, and overloading you find your life over the past month. It has two factors: perceived helplessness and perceived self-efficacy.

Is this test scientifically validated?

It is built on the perceived stress construct of Cohen et al. (1983), the most widely used stress measure in health research. The items are a NOESIS adaptation (α = 0.85) — independently written and not independently validated — so treat results as structured self-reflection.

What do high and low scores mean?

Scores of 0-13 indicate low perceived stress, 14-26 moderate, and 27-40 high. What the scale captures is not workload but the feeling that life is unpredictable and out of control — which is why two people with identical schedules can score very differently, and why the controllability of your load is the best lever to work on.

PHQ-15: Somatic Symptom Severity Scale

PHQ-2: Ultra-Brief Depression Screener

PHQ-9: Patient Health Questionnaire (Depression)

Resilience Assessment

Is this test scientifically validated?

It is built on the bounce-back conception of resilience of Smith et al. (2008), which measures recovery directly instead of inferring it from protective factors. The items are a NOESIS adaptation (α = 0.86) — independently written and not independently validated — so treat results as structured self-reflection.

What do high and low scores mean?

High scores mean you return to baseline quickly after stress and setbacks; low scores mean recovery takes longer and hard events echo for a while. A low score is not fragility as character — recovery speed responds to sleep, support, and training, and tends to improve when the load itself becomes more manageable.

Self-Compassion Assessment

What does this assessment measure?

It measures self-compassion — how you treat yourself during suffering, failure, and imperfection. It assesses six facets: self-kindness, self-judgment, common humanity, isolation, mindfulness, and over-identification.

Is this test scientifically validated?

It is built on Neff's (2003) six-facet model of self-compassion, the founding framework of the field. The items are a NOESIS adaptation (α = 0.86) — independently written and not independently validated — so treat results as structured self-reflection.

What do high and low scores mean?

High scores mean you meet your own failures with the kindness you would offer a friend; low scores mean your default is criticism, isolation, or rumination. Self-compassion is not self-indulgence — research links it to more accountability and persistence after mistakes, not less — and it is one of the most trainable dispositions in this catalog.

Self-Efficacy Assessment

Is this test scientifically validated?

It is built on Bandura's (1977) social cognitive theory and the generalized self-efficacy construct of Schwarzer & Jerusalem, used in research across dozens of countries. The items are a NOESIS adaptation — independently written and not independently validated — so treat results as structured self-reflection.

What do high and low scores mean?

High scores mean you approach challenges expecting to cope, which feeds initiative and persistence; low scores mean new or difficult situations trigger doubt before action. Self-efficacy grows through mastery experiences — small wins on real challenges — more than through encouragement, which makes it very responsive to deliberate practice.

Self-Esteem Assessment

What does this assessment measure?

It measures global self-esteem — your overall positive or negative evaluation of yourself as a person. It is not about specific abilities but about general self-worth.

What do high and low scores mean?

High scores reflect a stable sense of worth that does not collapse with each mistake; low scores mean your self-evaluation runs negative and likely colors how you read feedback and risk. Low self-esteem is strongly linked to depression and anxiety symptoms — worth taking seriously — but it is a belief pattern, and belief patterns respond to evidence and practice.

SRQ-20: the World Health Organization common distress screen

If there is no cutoff, what does my score actually mean?

It means how many of the twenty complaints you reported over the last 30 days, and the refusal to fix a line is the source's position rather than something missing here. The World Health Organization guide states that no global, generally applicable cutoff can be recommended for the SRQ and that each study should determine its own, because the right threshold depends on the language, on how the questionnaire is given, on the population answering it and on what the screening is for. Published cutoffs range from 3/4 to 11/12 across the studies in the guide's own table, which is a wide enough spread that picking one and calling it the World Health Organization's would be a fabrication. So this test tells you where you sit against that range, and it quotes the individual lines with the population each came from. The best known is Brazil's 7/8, from primary care in Sao Paulo and confirmed later against a structured clinical interview, which means eight or more counted as a probable case in those samples. Yours may not be one of those samples.

Question 17 asks about thoughts of ending my life. What happens to that answer?

It is scored like the other nineteen, one point, and it is not reported to anyone. Nothing on this platform is monitored by a person and nothing here triggers a call. That is worth knowing precisely, because it also means the questionnaire cannot help you in the moment. If that thought is present, it is not a data point to average with headaches and appetite: contact a professional, someone you trust, or an emergency service where you live, today. The item is in the instrument because the World Health Organization put it there and removing it would change the score, and it is the single clearest reason this test is flagged as sensitive.

Does the World Health Organization endorse NOESIS?

No, and it is worth stating plainly. The World Health Organization granted NOESIS written permission to reproduce the SRQ-20 on this platform, under Permission Request No. MRR-048859. Permission to use an instrument is not approval of the platform that uses it. The World Health Organization does not endorse, sponsor, certify or recommend NOESIS, its reports or its other tests, and it has not reviewed any of them. What comes from the World Health Organization is the questionnaire and its scoring rule. Everything else on this page is ours, including the decision about how to report a score with no cutoff.

Which of these six languages is the World Health Organization's text, and which is yours?

One is theirs and five are ours. The English questionnaire is the one printed in the World Health Organization guide, reproduced word for word, and the guide's own title page carries the mark English only. Portuguese, Spanish, French, German and Italian are NOESIS translations of that English text. The World Health Organization did not write them, did not review them and did not approve them, and it takes no responsibility for their accuracy. The English version is the authentic text, which is what settles any difference between languages. We say the same on the instruction screen before you start and in the copyright notice beside the questionnaire, because a translation nobody authenticated should not be able to pass for one that was.

Why are the Portuguese, Spanish and French versions yours and not the World Health Organization's?

Because we asked for theirs and were told to write our own. The preface of the WHO user's guide lists Portuguese, Spanish and French as available on request from the division that held them, and the permission we operate under requires the official translation to be used as published wherever one exists. So we wrote and asked. The answer, which forms part of that same permission, is that WHO will not supply the pending versions and that we may use translations prepared by NOESIS, provided they are clearly identified as NOESIS translations and are never presented as official WHO translations or as translations reviewed, approved or endorsed by WHO. English remains the authentic source text. If WHO later identifies an official version in any of these languages, ours is replaced by it.

Who can see my results?

This test is flagged as sensitive in NOESIS. Your results belong to you. If you ever take it inside a corporate program, individual results of sensitive tests are never shown to your employer without your explicit per-test consent, which defaults to off. That is a platform rule, not a courtesy. A mental health screen has no place in a hiring decision either, which is why this test is marked unsuitable for recruitment.

WHO-5: World Health Organization Well-Being Index

Does a score below 50 mean I have depression?

No. The World Health Organization publishes that threshold as an indication for further assessment for the possible presence of a mental health condition, which is a reason to look closer, not a finding. Five questions cannot diagnose anything, and this one does not even ask about symptoms: a low score says that little of your last two weeks was spent feeling well, and there are many reasons for that. A diagnosis requires a clinical evaluation by a professional, and if your score is low and has stayed low, that conversation is what the number is pointing at.

Does the World Health Organization endorse NOESIS?

No, and it is worth stating plainly. The World Health Organization granted NOESIS written permission to reproduce the WHO-5 on this platform, under Permission Request No. MRR-048859. Permission to use an instrument is not approval of the platform that uses it. The World Health Organization does not endorse, sponsor, certify or recommend NOESIS, its reports or its other tests, and it has not reviewed any of them. What comes from the World Health Organization is the questionnaire, its scoring rule and its threshold, reproduced as published. Everything else on this page is ours.

How is the 0 to 100 score calculated?

Each answer is worth 0 to 5, from at no time to all of the time, so the five items add up to a raw score between 0 and 25. The published rule then multiplies that raw score by four, which gives the 0 to 100 percentage score the instrument is reported in. It is not a percentile and it is not a comparison with other people: it is the proportion of the maximum well-being the scale can register. A raw 12 becomes 48 and a raw 13 becomes 52, which is why the threshold of 50 sits in a gap that no answer can land on.

Why does the Portuguese version sound European, and why is there a typo in the Spanish one?

Because both are exactly what the World Health Organization publishes, and the permission requires using the published version rather than a better one. The Portuguese sheet is European Portuguese, with forms like activo and dia-a-dia. The Spanish sheet has descandado where descansado was meant, and the French one capitalises Temps in one answer option. We could fix all three in a minute, and fixing them would mean shipping a text the World Health Organization never published. The World Health Organization itself notes that these translations were made before it took over the copyright, that it is not responsible for their accuracy, and that the English version is the authentic one.

Can five questions measure anything?

They measure one thing, narrowly and repeatedly, which is what makes the WHO-5 useful. It asks about mood, calm, energy, rest and interest over a fixed two-week window, and it returns a single number. It will not tell you which part of your life is doing the damage, it will not separate a rough fortnight from a long stretch, and it is easy to answer the way you would like to be. What it does well is show movement: take it now, take it again after something changes, and the difference between the two numbers is the measurement that matters.

Who can see my results?

This test is flagged as sensitive in NOESIS. Your results belong to you. If you ever take it inside a corporate program, individual results of sensitive tests are never shown to your employer without your explicit per-test consent, which defaults to off. That is a platform rule, not a courtesy.