Depression Quiz

Depression Quiz

At the peak of your symptoms, how often do you experience the following:
Feelings of depression, being down, or hopelessness?*

Not at allSeveral daysMore than half the daysNearly every day
Having little to no interest or pleasure in doing things?*

Not at allSeveral daysMore than half the daysNearly every day
Having trouble eating, either eating too much or losing your appetite?*

Not at allSeveral daysMore than half the daysNearly every day
Feeling tired or low on energy?*

Not at allSeveral daysMore than half the daysNearly every day
Having insomnia (trouble falling or staying asleep) OR sleeping too much?*

Not at allSeveral daysMore than half the daysNearly every day
Having trouble focusing or concentrating on tasks?*

Not at allSeveral daysMore than half the daysNearly every day
Being overactive, such as fidgeting or talking too much, OR underactive, such as speaking and moving more slowly than usual?*

Not at allSeveral daysMore than half the daysNearly every day
Having negative feelings about yourself, for example, that you have let your family down or that you are a failure?*

Not at allSeveral daysMore than half the daysNearly every day
Thoughts of hurting yourself or that you would be better off dead?*

Not at allSeveral daysMore than half the daysNearly every day
SCORE
Scoring Information:

0 - 4: No or minimal depression

5 - 9: Mild depression

10 - 14: Moderate depression

15 - 20: Severe depression
OPTIONAL

Fill out your information below and click "submit" to send your answers to iMind Mental Health Solutions. We will contact you for a free depression screening and consultation. Or, you can call us at (772) 303-1568.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
I'd like to be seen at the following location:

Stuart: 10 SE Central Parkway, Ste. 100, Stuart, FL 34994Port St Lucie: 145 NW Central Park Plaza, Ste. 200, Port St. Lucie, FL 34986Vero Beach (17th Street and US1)Telehealth
How did you hear about iMind Mental Health Solutions?

InternetPrimary Care ProviderPsychiatristFriend/FamilySocial MediaOther
By submitting this form and signing up for texts, you consent to receive customer support, informational, and promotional text messages from iMind Mental Health Solutions at the number provided, including messages sent by autodialer. Consent is not a condition of purchase. Msg & data rates may apply. Msg frequency varies. Unsubscribe at any time by replying STOP. Reply HELP for help. Privacy Policy: https://imindmental.com/privacy-policy/
Should be Empty: