Instructions: Over the last 2 weeks, how often have you been bothered by any of the following problems?
| Question | Not at all (0) |
Several days (1) |
More than half the days (2) |
Nearly every day (3) |
|---|---|---|---|---|
| 1. Little interest or pleasure in doing things | ||||
| 2. Feeling down, depressed, or hopeless | ||||
| 3. Trouble falling or staying asleep, or sleeping too much | ||||
| 4. Feeling tired or having little energy | ||||
| 5. Poor appetite or overeating | ||||
| 6. Feeling bad about yourself — or that you are a failure or have let yourself or your family down | ||||
| 7. Trouble concentrating on things, such as reading the newspaper or watching television | ||||
| 8. Moving or speaking so slowly that other people could have noticed. Or being so fidgety or restless that you have been moving around a lot more than usual | ||||
| 9. Thoughts that you would be better off dead or of hurting yourself in some way |
10. If you checked off any problems, how difficult have they made it for you to do your work, take care of things at home, or get along with other people?