The online Accreditation Assessment has 15 questions, which are a mixture of 10 multiple-choice questions based on a couple of scenarios and 5 True or False questions. You can have your MHFA manual with you at the time you complete the assessment. None of the questions are difficult for someone who has attended an MHFA course. You will be offered a second attempt on any incorrectly answered questions. Once you submit your second attempt then no more attempts are possible.