Depression Screening

Over the last 2 weeks, how often have you been bothered by any of the following problems?

1) Little interest or pleasure in doing things

Not at allSeveral daysMore than half the daysNearly every day

2) Feeling down, depressed, or hopeless

Not at allSeveral daysMore than half the daysNearly every day

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

Not at allSeveral daysMore than half the daysNearly every day

4) Feeling tired or having little energy

Not at allSeveral daysMore than half the daysNearly every day

5) Poor appetite or overeating

Not at allSeveral daysMore than half the daysNearly every day

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

Not at allSeveral daysMore than half the daysNearly every day

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

Not at allSeveral daysMore than half the daysNearly every day

8) Moving or speaking so slowly that other people could have noticed. Or the opposite - being so figety or restless that you have been moving around a lot more than usual

Not at allSeveral daysMore than half the daysNearly every day

9) Thoughts that you would be better off dead, or of hurting yourself

Not at allSeveral daysMore than half the daysNearly every day

If you have had any thoughts that you would be better off dead, thoughts of hurting yourself, or thoughts of suicide know that you are not alone. There is hope. There is help. Please call the National Suicide Prevention Hotline at 1-800-273-TALK or text IN to 741741.

10) If you answered yes to any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?

Not difficult at allSomewhat difficultVery difficultExtremely difficult

Please note: By clicking on the submit button below, you acknowledge that this screening tool is not a diagnostic instrument and is only to be used by you if you are 13 years or older. You are encouraged to share your results with a physician or healthcare provider. Community Health Network, sponsors, partners, and advertisers disclaim any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of this screening tool.