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Directions: Choose the best answer for how you felt over the past week. |
|
| 1 |
Are you basically satisfied with your life? |
yes / no |
| 2 |
Have you dropped many of your activities and interests? |
yes / no |
| 3 |
Do you feel that your Life is empty? |
yes / no |
| 4 |
Do you often get bored? |
yes / no |
| 5 |
Are you hopeful about the future? |
yes / no |
| 6 |
Are you bothered by thoughts you can't get out of your head? |
yes / no |
| 7 |
Are you in good spirits most of the time? |
yes / no |
| 8 |
Are you afraid that something bad is going to happen to you? |
yes / no |
| 9 |
Do you feel happy most of the time? |
yes / no |
| 10 |
Do you often feel helpless? |
yes / no |
| 11 |
Do you often get restless and fidgety? |
yes / no |
| 12 |
Do you prefer to stay at home, rather than going out and doing new things? |
yes / no |
| 13 |
Do you frequently worry about the future? |
yes / no |
| 14 |
Do you feel you have more problems with memory than most? |
yes / no |
| 15 |
Do you think it is wonderful to be alive now? |
yes / no |
| 16 |
Do you often feel downhearted and blue? |
yes / no |
| 17 |
Do you feel pretty worthless the way you are now? |
yes / no |
| 18 |
Do you worry a lot about the past? |
yes / no |
| 19 |
Do you find life very exciting? |
yes / no |
| 20 |
Is it hard for you to get started on new projects? |
yes / no |
| 21 |
Do you feel full of energy? |
yes / no |
| 22 |
Do you feel that your situation is hopeless? |
yes / no |
| 23 |
Do you think that most people are better off than you are? |
yes / no |
| 24 |
Do you frequently get upset over little things? |
yes / no |
| 25 |
Do you frequently feel like crying? |
yes / no |
| 26 |
Do you have trouble concentrating? |
yes / no |
| 27 |
Do you enjoy getting up in the morning? |
yes / no |
| 28 |
Do you prefer to avoid social gatherings? |
yes / no |
| 29 |
Is it easy for you to make decisions? |
yes / no |
| 30 |
Is your mind as clear as it used to be? |
yes / no |
| |
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Normal------- Mildly Depressed------- Severely Depressed |