CES-D – Parent Version

Child

First NameLast Name

Below is a list of the ways your child might have felt or behaved. Please tell me how often your child has felt this way during the past week.

Rarely or none of the time (less than 1 day )
Some or a little of the time (1-2 days)
Occasionally or a moderate amount of time (3-4 days)
Most or all of the time (5-7 days)

Rows	< 1 day	1-2 days	3-4 days	5-7 days
My child was bothered by things that usually don’t bother them.
My child did not feel like eating; their appetite was poor.
My child felt that they could not shake off the blues even with help from family or friends.
My child felt they were just as good as other people.
My child had trouble keeping their mind on what they were doing.
My child felt depressed.
My child felt that everything they did was an effort.
My child felt hopeful about the future.
My child thought their life had been a failure.
My child felt fearful.
My child’s sleep was restless.
My child was happy.
My child spoke less than usual.
My child felt lonely.
People were unfriendly to my child.
My child enjoyed life.
My child had crying spells.
My child felt sad.
My child felt that people dislike them.
My child could not get going.

The range of possible scores falls between 0-60. If more than four questions are missing answers, do not score the CES-D questionnaire.

A cutoff score of 16 or greater reflects individuals at risk for clinical depression. More specifically: 0-16: No to mild depressive symptomatology
16-23: Moderate depressive symptomatology
24-60: Severe depressive symptomatology

Score