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1. Over the last 2 weeks, how often have you been bothered by any of the following problems? Read each item carefully, and select your response.
Not at all
Several days
More than half the days
Nearly every day
a.
Little interest or pleasure in doing things
b.
Feeling down, depressed, or hopeless
c.
Trouble falling asleep, staying asleep, or sleeping too much
d.
Feeling tired or having little energy
e.
Poor appetite or overeating
f.
Feeling bad about yourself, feeling that you are a failure, or feeling that you have let yourself or your family down
g.
Trouble concentrating on things such as reading the newspaper or watching television
h.
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
i.
Thinking that you would be better off dead or that you want to hurt yourself in some way
2
.
Are you being treated for depression?
Select
Yes
No
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