Form

1. Lack of interest or pleasure in doing things

Not at all

Less than 7 days

More than 7 days

Nearly every day

2. Feeling down, depressed, or hopeless

Not at all

Less than 7 days

More than 7 days

Nearly every day

3. Trouble falling or staying asleep, or sleeping too much

Not at all

Less than 7 days

More than 7 days

Nearly every day

4. Feeling tired or having little energy

Not at all

Less than 7 days

More than 7 days

Nearly every day

5. Poor appetite or overeating

Not at all

Less than 7 days

More than 7 days

Nearly every day

6. Feeling bad about yourself — or that you are a failure or have let yourself or your family down

Not at all

Less than 7 days

More than 7 days

Nearly every day

7. Trouble concentrating on things, such as reading the newspaper or watching television

Not at all

Less than 7 days

More than 7 days

Nearly every day

8. 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

Not at all

Less than 7 days

More than 7 days

Nearly every day

9. Thoughts that you would be better off dead or of hurting yourself in some way

Not at all

Less than 7 days

More than 7 days

Nearly every day

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