Depression Survey

Over the last 2 weeks, how often have you been bothered by any of the following problems?

LIttle interest or pleasure in doing things
Feeling down, depressed, or hopeless
Trouble falling or staying asleep, or sleeping too much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself - or that you are a failure or have let your family down
Trouble concentrating on things, such as reading the newspaper or watching television
Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual
Thoughts that you would be better off dead, or of hurting yourself in some way
If you checked off any problems on this questionnaire so far, 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?

Add the numbers together of your selected answers, if you've scored greater than 10 that could be a sign of depression and you may quality for a diagnosis and may have to seek professional treatment.

You should not take the results of this survey as a diagnosis of any sort, or a recommendation for treatment. However, it is likely you will benefit from seeking further clarification about a possible diagnosis of Depression from a physician or a trained mental health professional soon.

Would you like us to contact you?
Best time to contact?