Depression Rating

DEPRESSION RATING

NAME: ______PoemsFromAHeartFullOfLove________

DATE: _______________7.15.08________________

Place a check mark by the ones that apply to you. This will help in evaluating your depression.

__x__	1.	I feel like crying more now than I did a year ago.
__x__	2.	I have lost interest in things I used to enjoy.
__x__	3.	I feel blue and sad.
__x__	4.	I feel helpless a good part of the time.
__x__	5.	I feel that I am not useful or needed.
____	6.	I do not feel that life is worth living.
__x__	7.	I have trouble sleeping and staying asleep.
__x__	8.	I am restless and jumpy a lot.
__x__	9.	I have less energy than usual; I tire easily.
__x__	10.	I am more irritable than usual.
__x__	11.	I do not like the way I am.
__x__	12.	I think a lot about the past.
__?__	13.	I have more physical problems (headaches, stomachaches, etc.) than I did a year ago.
__x__	14.	People notice I do not do my job as well as I used to do.
__x__	15.	I think others would be better off if I were dead.
__x__	16.	I have lost a lot of my motivation.
__x__	17.	I am losing weight without trying.
__x__	18.	I tend to keep things bottled up inside too much.
__x__	19.	I feel self-conscious around others a lot.
____	20.	I have problems expressing love to others.