Anxiety Test

Depression Screening

Please complete all 7 questions for instant results.
Name

First NameLast Name
Email
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Phone Number
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Over the last two weeks, how often have you been bothered by the following problems?
Little interest or pleasure in doing things*

Not at allSeveral daysMore than half the daysNearly every day
Feeling down, depressed, or hopeless*

Not at allSeveral daysMore than half the daysNearly every day
Trouble falling or staying asleep, or sleeping too much*

Not at allSeveral daysMore than half the daysNearly every day
Feeling tired or having little energy*

Not at allSeveral daysMore than half the daysNearly every day
Poor appetite or overeating*

Not at allSeveral daysMore than half the daysNearly every day
Feeling bad about yourself — or that you are a failure orhave let yourself or your family down*

Not at allSeveral daysMore than half the daysNearly every day
Trouble concentrating on things, such as reading the newspaper or watching television*

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

Not at allSeveral daysMore than half the daysNearly every day
Scoring*
Depression Level 1-4=minimal; 5-9=mild; 10-14=moderate; 15-19=moderately severe; 20-27=severe
Should be Empty:

Depression Screening

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