AllCare Behavioral Health Services, Inc.

May 16, 2008
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Depression Self Assessment

Instructions: Please answer the following questions regarding your depression. Then, click on the submit button below the questionnaire to see your AllCare depression score.

1) I have noticed a change in my sleeping pattern, such as having trouble falling asleep, waking up constantly through the night, or oversleeping in the morning.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

2) I feel uninterested in the things that were once enjoyable to me.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

3) I've been feeling sad, unhappy, or blue.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

4) I tend to ignore the phone when it rings even though it may be one of my friends.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

5) I feel like I've been drained of all my energy.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

6) I've been crying a lot.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

7) It seems like everything goes wrong no matter how hard I try.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

8) I turn down invitations because I feel like I don't have enough energy to socialize and I feel that my depressed mood will just get everyone else down.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

9) I purposely engage in risky behavior such as crossing the street when the light is red.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

10) I stay home from school or work because I feel depressed.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

11) It is a hard and long process for me to make decisions lately.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

12) I feel like a failure and not very likable.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

13) I've been getting headaches, stomach aches and sensations of pins in my joints that can't be traced to physical injuries.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

14) I've been thinking a lot about my own death.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

15) I've gained or lost weight without really trying.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

16) I find it hard to concentrate for any length of time.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

17) I've been thinking about suicide.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

18) I've been drinking more alcohol than usual.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

19) I feel like I've lost interest in sex or am experiencing sexual difficulties.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

20) I feel restless and easily irritable.

Not at all
Very seldom
Sometimes
Most of the time
All of the time

21) Eating seems to be more trouble than it's worth.

Not at all
Very seldom
Sometimes
Most of the time
All of the time