Answers indicating depression are highlighted.
Each BOLD-FACED answer counts one (1) point. A
score greater than 5 is indicative of probable
depression.
|
Question |
Response |
|
1
|
Are you basically
satisfied with your life? |
Yes/NO |
|
2
|
Have you dropped many of
your activities and interests? |
YES/No |
|
3
|
Do you feel happy most of
the time? |
Yes/NO |
|
4
|
Do
you prefer to stay in your room/facility,
rather than going out and doing new things?
|
YES/No |
| If
none of the above responses suggests
depression, STOP HERE.
If any of the above responses suggests
depression ask questions 5-14. |
|
5
|
Do you feel that your
life is empty? |
YES/No |
|
6
|
Do you often get bored? |
YES/No |
| 7 |
Are you in good spirits most of the time?
|
Yes/NO |
|
8 |
Are you afraid that something bad is
going to happen to you?
|
YES/No |
| 9 |
Do you often feel helpless?
|
YES/No |
| 10 |
Do you feel you have more problems with
memory than most people do?
|
YES/No |
| 11 |
Do you think it is wonderful to be alive?
|
Yes/NO |
| 12 |
Do you feel full of energy?
|
Yes/NO |
| 13 |
Do you feel that your situation is
hopeless?
|
YES/No |
| 14 |
Do you think that most people are better
off than you?
|
YES/No
|
| |
SCORE |
|
