For each statement, select the number that best describes the way you have been feeling for the past week.

• In the past week, I felt happier or more cheerful than usual

  • Not at all
  • Occasionally (once or twice)
  • Often (several times)
  • Frequently
  • All of the time

• In the past week, I felt more self-confident than usual

  • Not at all
  • Occasionally (once or twice)
  • Often (several times)
  • Frequently
  • All of the time

• In the past week, I needed less sleep than usual

  • Not at all
  • Occasionally (once or twice)
  • Often (several times)
  • Frequently
  • All of the time

• In the past week, I talked more than usual

  • Not at all
  • Occasionally (once or twice)
  • Often (several times)
  • Frequently
  • All of the time

• In the past week, I have been more active than usual (either socially, sexually, at work, home or school).

  • Not at all
  • Occasionally (once or twice)
  • Often (several times)
  • Frequently
  • All of the time

Over the last 2 weeks, how often have you been bothered by the following problems?

• Little interest or pleasure in doing things

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Feeling down, depressed, or hopeless

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Trouble falling or staying asleep, or sleeping too much

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Feeling tired or having little energy

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Poor appetite or overeating

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Feeling bad about yourself - or that you are a failure or have let yourself or your family down

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Trouble concentrating on things, such as reading the newspaper or watching television

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual.

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day

• Thoughts that you would be better off dead, or of hurting yourself.

  • Not at all
  • Several days
  • More than half the days
  • Nearly every day