Depression Questionnaire

Over the last 2 weeks, how often have you been bothered by any of the following problems?
(0 = Not At All) (1 = Several Days) (2 = More than half the days) (3 = Nearly Everyday)
1. Little interest or pleasure in doing things*
Please enter a number from 0 to 3.
2. Feeling down, depressed, or hopeless*
Please enter a number from 0 to 3.
3. Trouble falling or staying asleep, or sleeping too much*
Please enter a number from 0 to 3.
4. Feeling tired or having little energy
Please enter a number from 0 to 3.
5. Poor appetite or overeating*
Please enter a number from 0 to 3.
6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down*
Please enter a number from 0 to 3.
7. Trouble concentrating on things, such as reading the newspaper or watching television*
Please enter a number from 0 to 3.
8. Moving or speaking so slowly that other people could have noticed. Or the opposite - being so figety or restless that you have been moving around a lot more than ususal*
Please enter a number from 0 to 3.
9. Thoughts that you would be better off dead, or of hurting yourself*
Please enter a number from 0 to 3.
10. If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?*
- Not difficult at all
- Somewhat difficult
- Very difficult
- Extremely difficult
Please enter your contact information to see results.
Full Name*
Email*