Depression Assessment Questionnaire

Depression Assessment Questionnaire

Depression Assessment Questionnaire

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Please use format DD/MM/YYYY
All responses we send will go to this email address
Over the last two weeks how often have you had little interest or pleasure in doing things?
Over the last two weeks how often have you been feeling down, depressed, or hopeless?
Over the last two weeks how often have you had trouble falling or staying asleep, or sleeping too much?
Over the last two weeks how often have you been feeling tired or having little energy?
Over the last two weeks how often have you been feeling bad about yourself, or that you have let yourself or your family down?
Over the last two weeks how often have you had trouble concentrating on things, such as reading the newspaper or watching television?
Over the last two weeks how often have you been moving or speaking so slowly that people have noticed, or the opposite?
Over the last two weeks how often have you had thoughts that you would be better off dead, or of hurting yourself in some way?
How difficult have the previous issues made it for you to do your work, take care of things at home, or get along with other people?