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  1. Surveys
  2. 2014
  3. September
  4. D
  5. Depression Test
0%
Exit Survey
 
 
Most of the time Often Sometimes Rarely Almost never
1 I feel sad.
2. I feel agitated or restless
3. I feel worn out.
5 When I wake up in the morning, I feel like there is nothing to look forward to.
6. I think about death.
7. When needed, I can make up my mind quickly.
8. I get mad at myself if I do not achieve the goals I have set out to reach.
9. When something is bothering me, I cannot stop thinking about.
10. When things go wrong in my life, I feel like I will never get over it.
 
 
 
Most of the time Often Sometimes Rarely Almost never
11. I have a persistent feeling of emptiness.
12. I feel slowed down (physically or mentally).
13. I feel tired even after a good rest.
14. I feel bad about myself.
15. I have recurrent thoughts about ending my life.
16. Even when forces beyond my control prevent me from reaching a goal, I still find a way to blame myself.
17. I keep myself up at night thinking about the things going on in my life.
18. I seem to be unable to keep moving once I get started.
19. I feel I don't deserve to be loved.
20. I am content.
 
 
 
Most of the time Often Sometimes Rarely Almost never
21. I can't seem to get started on important projects or tasks I need to take care of.
22. I am so tired that I cannot carry on with my usual activities.
23. I feel worthless.
24. I can forgive myself for mistakes I've made and move on.
25. I feel physically weak.
26. I can take care of myself and of those who depend on me as well as ever.
27. If I am struggling in work or in school, I tend to think it is because I am not smart enough.
28. I feel like crying for no apparent reason.
29. I am full of energy.
30. Problems that I experience take on a new life because I feel the need to examine them from every possible angle.
 
 
 
Completely true Mostly true Somewhat true/false Mostly false Completely false
31. I mess up everything I touch.
32. I feel like I am hurting people by just being around.
33. I do not get pleasure anymore out of most (or all) of the things and activities that I used to enjoy.
34. Reaching decisions is torment for me.
35. I have lost interest in most (or all) of the things and activities that used to interest me.
36. There are many things that make me happy to be alive.
37. I can think as clearly as ever.
38. I feel that I am a burden.
39. I am a failure
40. I feel that I am important to someone.
 
 
 
Completely agree Mostly agree Somewhat agree/disagree Mostly disagree Completely disagree
51. It doesn't matter whether you win or lose, it only matters how hard you try.
52. When something goes wrong in my life, I get stuck in a rut, feeling that I can never pull myself out of whatever mess I am in.
52. Problems in my life tend to snowball into a depression because I don't feel that I can control whether or not the problem is resolved successfully.
53. I tend to be sensitive in interactions with others, noticing even the subtlest insult or mocking tone of voice.
54 When a project goes badly at work, my first inclination is to blame myself rather than blaming others or the situation.
55. When something goes wrong in my life, the worst thing about it is facing the judgment of others.
56. People are so mean sometimes, it's like they take pleasure in others' misfortune.
57. When I feel lonely, I tend to view it as a temporary situation rather than a long-term issue
58. When I make a mistake or do something foolish, I get embarrassed, thinking about what others must be thinking..
59. I am more likely to blame my failures on lack of intelligence or ability than on a simple lack of effort.
60. I feel that I am loved unconditionally by my friends, family, and/or a romantic partner.
 
 
 
Have you experienced any sleep disturbances or changes in your sleep pattern?
 
I've been having trouble staying asleep.
 
I've been having trouble falling asleep.
 
I've been sleeping more than I usually do.
 
I've been sleeping less than I usually do.
 
No
 
 
 
During the past 12 months, have you experienced any of the following events?
• Divorce, separation or break-up of a long-term relationship
• Loss of home due to natural catastrophe, financial problems, divorce etc.
• Loss of job or other source of significant income, loss of business or major investment
• Diagnosis of a serious illness in yourself or someone close
• Major arguments with someone
• Other major stressor not on this lis
 
Yes, more than one on this list
 
Yes, one on this list
 
No
 
 
 
Rate your levels of daily stress from 1 - 10.
 
1 - Zero stress
 
2
 
3
 
4
 
5 - Occasional minor stress (e.g. traffic jams, running late, arguments with colleagues, etc.)
 
6
 
7
 
8
 
9
 
10 - Severe, frequent stress (e.g. high-pressure decisions, witnessing death or injury, fast-paced environment)
 
 
 
How often do you conduct surveys?
 
Less than 1 week
 
1 week or more but less than 2 weeks
 
2 weeks or more but less than 4 weeks
 
1 month or more but less than 3 months
 
3 months or more but less than 6 months
 
6 months or more but less than 1 year
 
1 year or more but less than 2 years
 
2 years or more
 
Most of my life
 
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