Mental Health Questionnaire
This questionnaire consists of nine statements. Read each statement carefully, then pick the number that best describes the way you have been feeling during the past two weeks, including today, using the following numbers:
0 - Not at all 1 - Several days 2 - More than half the days 3
- Nearly every day
Over the last two weeks, how often have you been bothered by any of the following problems?
1. Little interest or pleasure in doing things.
2. Feeling down or depressed.
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 - 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 the opposite: 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.
Interpreting your score:
If you scored in the 10-14 range, you should probably seek treatment. If you scored a 15 or higher, seeking treatment is strongly recommended.
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