Depression Questionnaire

1. Over the past two weeks have you had persistent thoughts of death, dying, or suicide?



2. Over the past two weeks have you had a plan to end your life?



3. Over the past two weeks have you felt like it's not worth living?



4. Over the past two weeks have you been unable to go to work or keep up with responsibilities that are part of your daily life because you felt bad and do not know why?



5. Over the past two weeks are activities that you have always found pleasurable, no longer enjoyable?



6. Over the past two weeks you feel tired all the time?



7. Over the past two weeks do you feel like eating all the time, especially sweets, or has your appetite decreased significantly?



8. Over the past two weeks are you having a hard time concentrating?



9. Over the past two weeks do tasks that use to seem simple now seem very difficult?



10. Over the past two weeks are you avoiding friends and crowds?



11. Over the past two weeks are you having a very hard time getting over a loss or trauma in your life?



12. Over the past two weeks, how often have you been feeling low in energy or slowed down?



13. Over the past two weeks, how often have you been blaming yourself for things?



14. Over the past two weeks, how often have you had poor appetite?



15. Over the past two weeks, how often have you had difficulty falling asleep or staying asleep?



16. Over the past two weeks have you slept more than usual or had insomnia?



17. Over the past two weeks are you having a hard time remembering simple things like appointments and people's names?



18. Over the past two weeks, how often have you been feeling hopeless about the future?



19. Over the past two weeks, how often have you been feeling blue?



20. Over the past two weeks have you felt ashamed?



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