Depression Assessment - Change Clinic by Dr. Heba Abdelaziz

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Total Score

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Score severity ranges:

(1)(Required)

0- I do not feel sad

1- I feel sad

2- I am sad all the time and I can’t snap out of it

3- I am so sad and unhappy that I can’t stand it

(2)(Required)

0- I am not particularly discouraged about the future

1- I feel discouraged about the future

2- I feel I have nothing to look forward to

3- I feel the future is hopeless and that things cannot improve

(3)(Required)

0- I do not feel like a failure

1- I feel I have failed more than the average person

2- As I look back on my life, all I can see is a lot of failures

3- I feel I am a complete failure as a person

(4)(Required)

0- I get as much satisfaction out of things as I used to

1- I don’t enjoy things the way I used to

2- I don’t get real satisfaction out of anything anymore

3- I am dissatisfied or bored with everything

(5)(Required)

0- I don’t feel particularly guilty

1- I feel guilty a good part of the time

2- I feel quite guilty most of the time

3- I feel guilty all of the time

(6)(Required)

0- I don’t feel I am being punished

1- I feel I may be punished

2- I expect to be punished

3- I feel I am being punished

(7)(Required)

0- I don’t feel disappointed in myself

1- I am disappointed in myself

2- I am disgusted with myself

3- I hate myself

(8)(Required)

0- I don’t feel I am any worse than anybody else

1- I am critical of myself for my weaknesses or mistakes

2- I blame myself all the time for my faults

3- I blame myself for everything bad that happens

(9)(Required)

0- I don’t have any thoughts of killing myself

1- I have thoughts of killing myself, but I would not carry them out

2- I would like to kill myself

3- I would kill myself if I had the chance

(10)(Required)

0- I don’t cry any more than usual

1- I cry more now than I used to

2- I cry all the time now

3- I used to be able to cry, but now I can’t cry even though I want to

(11)(Required)

0- I am no more irritated by things than I ever was

1- I am slightly more irritated now than usual

2- I am quite annoyed or irritated a good deal of the time

3- I feel irritated all the time

(12)(Required)

0- I have not lost interest in other people

1- I am less interested in other people than I used to be

2- I have lost most of my interest in other people

3- I have lost all of my interest in other people

(13)(Required)

0- I make decisions about as well as I ever could

1- I put off making decisions more than I used to

2- I have greater difficulty in making decisions more than I used to

3- I can’t make decisions at all anymore

(14)(Required)

0- I don’t feel that I look any worse than I used to

1- I am worried that I am looking old or unattractive

2- I feel there are permanent changes in my appearance that make me look unattractive

3- I believe that I look ugly

(15)(Required)

0- I can work about as well as before

1- It takes an extra effort to get started at doing something

2- I have to push myself very hard to do anything

3- I can’t do any work at all

(16)(Required)

0- I can sleep as well as usual

1- I don’t sleep as well as I used to

2- I wake up 1-2 hours earlier than usual and find it hard to get back to sleep

3- I wake up several hours earlier than I used to and cannot get back to sleep

(17)(Required)

0- I don’t get more tired than usual

1- I get tired more easily than I used to

2- I get tired from doing almost anything

3- I am too tired to do anything

(18)(Required)

0- My appetite is no worse than usual

1- My appetite is not as good as it used to be

2- My appetite is much worse now

3- I have no appetite at all anymore

(19)(Required)

0- I haven’t lost much weight, if any, lately

1- I have lost more than five pounds

2- I have lost more than ten pounds

3- I have lost more than fifteen pounds

(20)(Required)

0- I am no more worried about my health than usual

1- I am worried about physical problems like aches, pains, upset stomach, or constipation

2- I am very worried about physical problems and it’s hard to think of much else

3- I am so worried about my physical problems that I cannot think of anything else

(21)(Required)

0- I have not noticed any recent change in my interest in sex

1- I am less interested in sex than I used to be

2- I have almost no interest in sex

3- I have lost interest in sex completely

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Adult – Depression

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