Depression Test

1

Little interest or pleasure in doing things* This field is required.

Not at all

Several days

More than half the days

Nearly every day

2

Feeling down, depressed, or hopeless* This field is required.

Not at all

Several days

More than half the days

Nearly every day

3

Trouble falling or staying asleep, or sleeping too much* This field is required.

Not at all

Several days

More than half the days

Nearly every day

4

Feeling tired or having little energy* This field is required.

Not at all

Several days

More than half the days

Nearly every day

5

Poor appetite or overeating* This field is required.

Not at all

Several days

More than half the days

Nearly every day

6

Feeling bad about yourself or that you are a failure or have let yourself or your family down* This field is required.

Not at all

Several days

More than half the days

Nearly every day

7

Trouble concentrating on things, such as reading the newspaper or watching television* This field is required.

Not at all

Several days

More than half the days

Nearly every day

8

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* This field is required.

Not at all

Several days

More than half the days

Nearly every day

9

Thoughts that you would be better off dead, or of hurting yourself* This field is required.

Not at all

Several days

More than half the days

Nearly every day

10

Full Name* This field is required.

First Name

Last Name

11

Date of Birth* This field is required.

Date

12

Phone Number* This field is required.

Please enter a valid phone number.

13

Email* This field is required.

example@example.com

14

In which state are you currently residing?* This field is required.

15

Your score is