Full Name Age Mobile No 1. I feel down-hearted and blue. A little of the time (1) Some of the time (2) Good part of the time (3) Most of the time (4) 2. Morning is when I feel the best. A little of the time (4) Some of the time (3) Good part of the time (2) Most of the time (1) 3. I have crying spells or feel like it. A little of the time (1) Some of the time (2) Good part of the time (3) Most of the time (4) 4. I have trouble sleeping at night. A little of the time (1) Some of the time (2) Good part of the time (3) Most of the time (4) 5. I eat as much as I used to. A little of the time (4) Some of the time (3) Good part of the time (2) Most of the time (1) 6. I still enjoy sex. A little of the time (4) Some of the time (3) Good part of the time (2) Most of the time (1) 7. I notice that I am losing weight. A little of the time (1) Some of the time (2) Good part of the time (3) Most of the time (4) 8. I have trouble with constipation. A little of the time (1) Some of the time (2) Good part of the time (3) Most of the time (4) 9. My heart beats faster than usual. A little of the time (1) Some of the time (2) Good part of the time (3) Most of the time (4) 10. I get tired for no reason. A little of the time (1) Some of the time (2) Good part of the time (3) Most of the time (4) 11. My mind is as clear as it used to be. A little of the time (4) Some of the time (3) Good part of the time (2) Most of the time (1) 12. I find it easy to do the things I used to. A little of the time (4) Some of the time (3) Good part of the time (2) Most of the time (1) 13. I am restless and can’t keep still. A little of the time (1) Some of the time (2) Good part of the time (3) Most of the time (4) 14. I feel hopeful about the future. A little of the time (4) Some of the time (3) Good part of the time (2) Most of the time (1) 15. I am more irritable than usual. A little of the time (1) Some of the time (2) Good part of the time (3) Most of the time (4) 16. I find it easy to make decisions. A little of the time (4) Some of the time (3) Good part of the time (2) Most of the time (1) 17. I feel that I am useful and needed. A little of the time (4) Some of the time (3) Good part of the time (2) Most of the time (1) 18. My life is pretty full. A little of the time (4) Some of the time (3) Good part of the time (2) Most of the time (1) 19. I feel that others would be better off if I were dead. A little of the time (1) Some of the time (2) Good part of the time (3) Most of the time (4) 20. I still enjoy the things I used to do. A little of the time (4) Some of the time (3) Good part of the time (2) Most of the time (1) Depression Assessment Result Total Score: 0 Severity: Normal range
