CEDARS Registration - Psychosocial Well-being Survey (Undergraduate)

The information collected in this survey aims at understanding the psychosocial needs of each new undergraduate student. Information will be analyzed in aggregated form. You can opt to be contacted for relevant resources and services available at HKU that match your needs. Your answers will be kept private. Identifiable personal data will be kept confidential and will be destroyed one year after your completion.

Please choose the most appropriate answer to each of the questions below.

Faculty:

Student status: LocalOverseasMainland

Are you a resident of a European country? ^{*Why ask} YesNo

*The information is collected for identifying individuals whose data are protected by the General Data Protection Regulations (GDPR).

1.Have you ever received counselling or psychological services 輔導或臨床心理服務? YesNo

2.Have you ever received psychiatric services 精神科服務? YesNo

3.Have you ever experienced depression and/or anxiety symptoms (symptoms such as prolonged low mood, loss of interest, persistent worries and fears) 抑鬱症/焦慮症徵狀? YesNo

4.Have you ever experienced or witnessed in person any traumatic incidents (including but not limiting to natural disasters, abuse, assault, war, sexual harassment, sudden death of close ones)? YesNo

5.Have you ever presented any addictive behaviour(s) 成癮問題? YesNo

6.Have you ever attempted suicide or self-harm? YesNo

7.Do you worry about your adjustment at HKU? YesNo

8.Do any of your family members suffer from mental illness(es)? YesNo

9.Do you have family members or friends to share your worries or problems? YesNo

Professional counsellors at CEDARS-CoPE are here at HKU to provide psychological support and counselling to you. Please contact our counsellor at (Tel) 3917 8388 or (Email) cedars-cope@hku.hk to discuss your condition or personal issue(s).

10.Have you ever been diagnosed 診斷 with any of the following disabilities/ Special Educational Needs (SEN) 特殊教育需要?

Visual or Hearing Impairment/ Deafness 視障或聽障/聾
Physical Disability 肢體傷殘
Dyslexia 讀寫障/ Specific Learning Disabilities 特殊學習障礙
Autism Spectrum Disorder / Asperger Syndrome 自閉症譜系障礙/亞氏保加症
Attention Deficit/ Hyperactivity Disorder 注意力不足/ 過度活躍症
Chronic Medical Illness 長期病患
Other Disability/ SEN 其他

YesNo

If you require support on any disabilities/ SEN, please contact SEN Support at (Tel) 3917 8388 or (Email) cedars-sen@hku.hk.

11.The Counselling and Person Enrichment (CoPE) Section of CEDARS offers Enrichment Workshops and Programmes that directly address individual needs and concerns you might have when adapting to life at HKU.

Which of the following will you be interested in receiving first-hand information about? (can choose more than one option)

a. Confidence & Social Communication (improve self-confidence through image, presentation, networking training, and speed dating experiences)

b. Relaxation & Resilience (learn different ways to relax and recharge your mind)

c. Study Skills (learn about general study skills and strategies for better time management/fighting procrastination)

d. Mental Health (learn about mood/ mental disorders and how to prevent or cope with mental health problems)

e. Handicraft workshops for exploring your inner-self (e.g. Creative Leather, Calligraphy and Pastel Nagomi Art Workshops)

12.CEDARS-CoPE offers opportunities for you to support your peers and to make friends in different ways. Which of the following service learning opportunities will you be interested in receiving first-hand information about? (can choose more than one option)

a. Survival Cantonese (learn daily Cantonese phrases)

b. Peer English Tutoring (practice spoken English)

c. SEN Support Peer Impact Network (promote social inclusion and diversity through joining services and student support activities)

d. Mental Health First Aiders (offer support to friends who have a mental health condition)

Please check the appropriate box(es) to indicate your agreement:

I would like to get individualized feedback from a counsellor of CEDARS-CoPE Section.

I would like to know more about self-help resources and practical ways to manage stress in the university.

I would like to receive more information about programmes mentioned in Q11 and/or 12.

If you have checked any of the boxes above, please leave your contact details. We will contact you in good time.
Identifiable personal data will be kept confidential and will be destroyed one year after your completion.
No unnecessary promotional material will be sent to you.

First name:

Surname:

Contact telephone number:

Email:

CEDARS takes the protection of your personal data seriously. The information collected by means of this form will be treated in strictest confidence. For our Privacy Policy Statement, please access: https://www.cedars.hku.hk/privacy.