Schizophrenia Checklist (Self Activity)

Month: …………… Name: Sadeesh Alwis

This form is intended to measure the effects of treatment. So please try to do it honestly. I hope that you
will handover this document as soon as possible after you have completed the week 4. Best of luck!
Thank you and stay safe...!!
Nimasha :D

Symptoms Week 01 Week 02 Week 03 Week 04

Delusions
Aggressiveness
Laziness
Hallucinations
Disorganized thinking
Slow movement
Lack of motivation
Changes in sleep pattern
Poor hygiene (clean or not)
Mood swings
Try to be isolated – feeling uncomfortable with
people
That you are followed by secret agent of the public
That people are out to get you or trying to kill you
That something has been planted in your brain to
monitor your thoughts.
You have special powers, in some cases that you are
believing God
Your food or water is being poisoned.
Losing interest in life and activities.
Problems concentrating
Remembering things
Making decisions