1 – None or a little of the time
2 – Some of the time
3 – Good part of the time
4 – Most or all of the time
¹
1
2
3
4
1
I feel down hearted and blue.
2
Morning is when I feel the best.
3
I have crying spells or feel like it.
4
I have trouble sleeping at night.
5
I eat as much as I used to.
6
I still enjoy sex.
7
I notice that I am losing weight.
8
I have trouble with constipation.
9
My heart beats faster than usual.
10
I get tired for no reason.
11
My mind is as clear as it used to be.
12
I find it easy to do the things I used to.
13
I am restless and can't keep still.
14
I feel hopeful about the future.
15
I am more irritable than usual.
16
I find it easy to make decisions.
17
I feel that I am useful and needed.
18
My life is pretty full.
19
I feel that others would be better off if I were dead.
20
I still enjoy the things I used to do.