Instructions: Select the answer that best describes how you felt over the past week.
| Question | Response |
|---|---|
| 1. Are you basically satisfied with your life? | |
| 2. Have you dropped many of your activities and interests? | |
| 3. Do you feel that your life is empty? | |
| 4. Do you often get bored? | |
| 5. Are you in good spirits most of the time? | |
| 6. Are you afraid that something bad is going to happen to you? | |
| 7. Do you feel happy most of the time? | |
| 8. Do you often feel helpless? | |
| 9. Do you prefer to stay at home rather than going out and doing things? | |
| 10. Do you feel you have more problems with memory than most? | |
| 11. Do you think it is wonderful to be alive now? | |
| 12. Do you feel worthless the way you are now? | |
| 13. Do you feel full of energy? | |
| 14. Do you feel your situation is hopeless? | |
| 15. Do you think most people are better off than you are? |