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Depression Questionnaire

Please answer the questionnaire honestly as it will help to assess possible issues you may have with depression.  Please count the number of "yes" responses to the following questions:

  1. Do you feel sad for the majority of the day, almost every day?
  2. Do you feel pessimistic or hopeless about your future?
  3. Do you experience feelings of helplessness, worthlessness, or guilt?
  4. Have you experienced a loss of interest in activities that were once enjoyable to you (including sex)?
  5. Have you experienced a decrease in energy or fatigue?
  6. Do you have difficulty remembering, concentrating, or making decisions?
  7. Do you feel you are sleeping too much or not getting enough sleep (including difficulties falling asleep, staying asleep or early morning wakening)?
  8. Do you experience thoughts of harming yourself?
  9. Have you experienced any significant, unintended weight loss or weight gain?
  10. Do you feel irritable or restlessness?
  11. Are you experiencing any physical symptoms that have not responded to medical treatment, such as chronic pain, headaches, or digestive disorders?
  12. Do you become tearful more frequently than usual?

If you have experienced five or more of the previous symptoms during a two-week period, or answered “yes” to question number eight, you may have depression. We encourage you to consult with a health care provider or a therapist on this website for a full evaluation and treatment to begin to feel better.

 

 

 


The Center for Personal Growth • 4656 30th Street • San Diego, California 92116 • Phone (619) 528-8005 • Fax (619) 528-8054
Copyright © 2009 Center for Personal Growth, LLC. All rights reserved

The information contained on this web site is provided for informational purposes only and is not intended to diagnose, cure, prevent
or treat any condition, disease or illness, and is not a substitute for the advice, diagnosis or treatment of a health care professional.

 

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