1 – Rarely or None of the Time (less than 1 day)
2 – Some or a Little of the Time (1–2 days)
3 – Occasionally or a Moderate Amount of Time (3–4 days)
4 – Most or All of the Time (5–7 days)
¹
1
2
3
4
1
I was bothered by things that usually don't bother me.
2
I did not feel like eating; my appetite was poor.
3
I felt that I could not shake off the blues family or friends. even with help from my
4
I felt that I was just as good as other people.
5
I had trouble keeping my mind on what I was doing.
6
I felt depressed.
7
I felt that everything I did was an effort.
8
I felt hopeful about the future.
9
I thought my life had been a failure.
10
I felt fearful.
11
My sleep was restless.
12
I was happy.
13
I talked less than usual.
14
I felt lonely.
15
People were unfriendly.
16
I enjoyed life.
17
I had crying spells.
18
I felt sad.
19
I felt that people dislike me.
20
I could not get "going."
The presented answer sheet is not an original form and is not intended for printing or use as a handout.
The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.