Depression Questionnaire

The following DEPRESSION QUESTIONNAIRE has 16 simple questions that may help identify common symptoms of depression. The results can be a helpful way to discuss your condition with your healthcare provider and actually help him/her diagnose your condition. After answering the questions provided on the following pages, print the completed questionnaire and discuss any concerns with your doctor.

As with any medical illness or condition, only your doctor or other qualified healthcare professional can provide a diagnosis of depression. The following questionnaire is intended to help you discuss symptoms with a qualified healthcare professional. This questionnaire is not intended to serve as a substitute for a diagnosis of depression by a qualified healthcare professional. If you think you may have depression, you should visit your doctor or other qualified healthcare professional as soon as possible.

Complete the questionnaire below, print it out and take the results to your doctor.

Choose the items that best describe you over the last 7 days.
Falling Asleep:
I never take longer than 30 minutes to fall asleep.
I take at least 30 minutes to fall asleep, less than half the time.
I take at least 30 minutes to fall asleep, more than half the time.
I take more than 60 minutes to fall asleep, more than half the time.
Sleep During the Night:
I do not wake up at night.
I have a restless, light sleep with a few brief awakenings each night.
I wake up at least once a night, but I go back to sleep easily.
I awaken more than once a night and stay awake for 20 minutes or more, more than half the time.
Waking Up Too Early:
Most of the time, I awaken no more than 30 minutes before I need to get up.
More than half the time I awaken more than 30 minutes before I need to get up.
I almost always awaken at least one hour or so before I need to, but I go back to sleep eventually.
I awaken at least one hour before I need to, and can't go back to sleep.
Sleeping Too Much:
I sleep no longer than 7-8 hours/night, without napping during the day.
I sleep no longer than 10 hours in a 24-hour period including naps.
I sleep no longer than 12 hours in a 24-hour period including naps.
I sleep longer than 12 hours in a 24-hour period including naps.
Feeling Sad:
I do not feel sad.
I feel sad less than half the time.
I feel sad more than half the time.
I feel sad nearly all of the time.
Decreased Appetite:
There is no change in my usual appetite.
I eat somewhat less often or lesser amounts of food than usual.
I eat much less than usual and only with personal effort.
I rarely eat within a 24-hour period, and only with extreme personal effort or when others persuade me to eat.
Increased Appetite:
There is no change from my usual appetite.
I feel a need to eat more frequently than usual.
I regularly eat more often and/or greater amounts of food than usual.
I feel driven to overeat both at mealtime and between meals.
Decreased Weight (Within the Last Two Weeks):
I have not had a change in my weight.
I feel as if I've had a slight weight loss.
I have lost 2 pounds or more.
I have lost 5 pounds or more.
Increased Weight (Within the Last Two Weeks):
I have not had a change in my weight.
I feel as if I've had a slight weight gain.
I have gained 2 pounds or more.
I have gained 5 pounds or more.
Concentration/Decision-Making:
There is no change in my usual capacity to concentrate or make decisions.
I occasionally feel indecisive or find that my attention wanders.
Most of the time, I struggle to focus my attention or to make decisions.
I cannot concentrate well enough to read or cannot make even minor decisions.
View of Myself:
I see myself as equally worthwhile and deserving as other people.
I am more self-blaming than usual.
I largely believe that I cause problems for others.
I think almost constantly about major and minor defects in myself.
Thoughts of Death or Suicide:
I do not think of suicide or death.
I feel that life is empty or wonder if it's worth living.
I think of suicide or death several times a week for several minutes.
I think of suicide or death several times a day in some detail, or I have made specific plans for suicide or have actually tried to take my life.
General Interest:
There is no change from usual in how interested I am in other people or activities.
I notice that I am less interested in people or activities.
I find I have interest in only one or two of my formerly pursued activities.
I have virtually no interest in formerly pursued activities.
Energy Level:
There is no change in my usual level of energy.
I get tired more easily than usual.
I have to make a big effort to start or finish my usual daily activities (for example, shopping, homework, cooking or going to work).
I really cannot carry out most of my usual daily activities because I just don't have the energy.
Feeling Slowed Down:
I think, speak, and move at my usual rate of speed.
I find that my thinking is slowed down or my voice sounds dull or flat.
It takes me several seconds to respond to most questions and I'm sure my thinking is slowed.
I am often unable to respond to questions without extreme effort.
Feeling Restless:
I do not feel restless.
I'm often fidgety, wringing my hands, or need to shift how I am sitting.
I have impulses to move about and am quite restless.
At times, I am unable to stay seated and need to pace around.
© 2000, A. John Rush, M.D., Quick Inventory of Depressive Symptomatology (Self Report) (QIDS-SR)

this is a really great questionnaire b/c it goes into real specifics & is alot more objective

Thanks, Lindsay for finding this & posting it

Orso

It seems to Me to be a good Questionnaire good job.

That questionnaire was a good one. You did a very good job.

Thanks to EVERYONE! Feel free to copy and paste it into your own email, MS word or notepad and put and X next to the question that suites you, then print it out to take to your pDoc!

That's really good...I have a lot of those stupid symptoms

Linsay,

Are you a therapist?

Albert

Choose the items that best describe you over the last 7 days.
Falling Asleep:
I never take longer than 30 minutes to fall asleep.
I take at least 30 minutes to fall asleep, less than half the time.
I take at least 30 minutes to fall asleep, more than half the time.
I take more than 60 minutes to fall asleep, more than half the time.X
Sleep During the Night:
I do not wake up at night.X
I have a restless, light sleep with a few brief awakenings each night.
I wake up at least once a night, but I go back to sleep easily.
I awaken more than once a night and stay awake for 20 minutes or more, more than half the time.
Waking Up Too Early:
Most of the time, I awaken no more than 30 minutes before I need to get up.
More than half the time I awaken more than 30 minutes before I need to get up.
I almost always awaken at least one hour or so before I need to, but I go back to sleep eventually.
I awaken at least one hour before I need to, and can't go back to sleep.X
Sleeping Too Much:
I sleep no longer than 7-8 hours/night, without napping during the day.X
I sleep no longer than 10 hours in a 24-hour period including naps.
I sleep no longer than 12 hours in a 24-hour period including naps.
I sleep longer than 12 hours in a 24-hour period including naps.
Feeling Sad:
I do not feel sad.
I feel sad less than half the time.
I feel sad more than half the time.
I feel sad nearly all of the time.X
Decreased Appetite:
There is no change in my usual appetite.X
I eat somewhat less often or lesser amounts of food than usual.
I eat much less than usual and only with personal effort.
I rarely eat within a 24-hour period, and only with extreme personal effort or when others persuade me to eat.
Increased Appetite:
There is no change from my usual appetite.
I feel a need to eat more frequently than usual.
I regularly eat more often and/or greater amounts of food than usual.
I feel driven to overeat both at mealtime and between meals.X
Decreased Weight (Within the Last Two Weeks):
I have not had a change in my weight.X
I feel as if I've had a slight weight loss.
I have lost 2 pounds or more.
I have lost 5 pounds or more.
Increased Weight (Within the Last Two Weeks):
I have not had a change in my weight.
I feel as if I've had a slight weight gain.
I have gained 2 pounds or more.X
I have gained 5 pounds or more.
Concentration/Decision-Making:
There is no change in my usual capacity to concentrate or make decisions.
I occasionally feel indecisive or find that my attention wanders.
Most of the time, I struggle to focus my attention or to make decisions.
I cannot concentrate well enough to read or cannot make even minor decisions.X
View of Myself:
I see myself as equally worthwhile and deserving as other people.
I am more self-blaming than usual.
I largely believe that I cause problems for others.
I think almost constantly about major and minor defects in myself.X
Thoughts of Death or Suicide:
I do not think of suicide or death.
I feel that life is empty or wonder if it's worth living.
I think of suicide or death several times a week for several minutes.
I think of suicide or death several times a day in some detail, or I have made specific plans for suicide or have actually tried to take my life.X
General Interest:
There is no change from usual in how interested I am in other people or activities.
I notice that I am less interested in people or activities.
I find I have interest in only one or two of my formerly pursued activities.X
I have virtually no interest in formerly pursued activities.
Energy Level:
There is no change in my usual level of energy.
I get tired more easily than usual.
I have to make a big effort to start or finish my usual daily activities (for example, shopping, homework, cooking or going to work).X
I really cannot carry out most of my usual daily activities because I just don't have the energy.
Feeling Slowed Down:
I think, speak, and move at my usual rate of speed.
I find that my thinking is slowed down or my voice sounds dull or flat.
It takes me several seconds to respond to most questions and I'm sure my thinking is slowed.
I am often unable to respond to questions without extreme effort.X
Feeling Restless:
I do not feel restless.
I'm often fidgety, wringing my hands, or need to shift how I am sitting.
I have impulses to move about and am quite restless.
At times, I am unable to stay seated and need to pace around.X

I don't know if it sounds weird, but some times I'm dead than other times I'm figidty, squirming, yelling, irritated, restless, having thoughts race around, talkative, etc and it goes on and on and on.

Going by that I'm not doing good at all.

Falling Asleep:
I DON'T SLEEP!![i]

Feeling Sad:
I do not feel sad.
I feel sad less than half the time.
I feel sad more than half the time.
I feel sad nearly all of the time. xxx
Decreased Appetite:
There is no change in my usual appetite.
I eat somewhat less often or lesser amounts of food than usual.
I eat much less than usual and only with personal effort.
I rarely eat within a 24-hour period, and only with extreme personal effort or when others persuade me to eat.xxx
Increased Appetite:
There is no change from my usual appetite.
I feel a need to eat more frequently than usual.
I regularly eat more often and/or greater amounts of food than usual.
I feel driven to overeat both at mealtime and between meals.
Decreased Weight (Within the Last Two Weeks):
I have not had a change in my weight.
I feel as if I've had a slight weight loss.
I have lost 2 pounds or more.
I have lost 5 pounds or more.xxxx

Concentration/Decision-Making:
There is no change in my usual capacity to concentrate or make decisions.
I occasionally feel indecisive or find that my attention wanders.
Most of the time, I struggle to focus my attention or to make decisions.xxx
I cannot concentrate well enough to read or cannot make even minor decisions.
View of Myself:
I see myself as equally worthwhile and deserving as other people.
I am more self-blaming than usual.
I largely believe that I cause problems for others.xxx
I think almost constantly about major and minor defects in myself.
Thoughts of Death or Suicide:
I do not think of suicide or death.
I feel that life is empty or wonder if it's worth living.xxx
I think of suicide or death several times a week for several minutes.
I think of suicide or death several times a day in some detail, or I have made specific plans for suicide or have actually tried to take my life.
General Interest:
There is no change from usual in how interested I am in other people or activities.
I notice that I am less interested in people or activities.
I find I have interest in only one or two of my formerly pursued activities.xxx
I have virtually no interest in formerly pursued activities.
Energy Level:
There is no change in my usual level of energy.
I get tired more easily than usual.
I have to make a big effort to start or finish my usual daily activities (for example, shopping, homework, cooking or going to work).
I really cannot carry out most of my usual daily activities because I just don't have the energy.xxx
Feeling Slowed Down:
I think, speak, and move at my usual rate of speed.
I find that my thinking is slowed down or my voice sounds dull or flat.X~~~~~~~

Complete the questionnaire below, print it out and take the results to your doctor.

Choose the items that best describe you over the last 7 days.
Falling Asleep:
I never take longer than 30 minutes to fall asleep.
I take at least 30 minutes to fall asleep, less than half the time.
I take at least 30 minutes to fall asleep, more than half the time.
I take more than 60 minutes to fall asleep, more than half the time. X
Sleep During the Night:
I do not wake up at night.
I have a restless, light sleep with a few brief awakenings each night. X
I wake up at least once a night, but I go back to sleep easily.
I awaken more than once a night and stay awake for 20 minutes or more, more than half the time.
Waking Up Too Early:
Most of the time, I awaken no more than 30 minutes before I need to get up.
More than half the time I awaken more than 30 minutes before I need to get up.
I almost always awaken at least one hour or so before I need to, but I go back to sleep eventually.
I awaken at least one hour before I need to, and can't go back to sleep. X
Sleeping Too Much:
I sleep no longer than 7-8 hours/night, without napping during the day.
I sleep no longer than 10 hours in a 24-hour period including naps. X
I sleep no longer than 12 hours in a 24-hour period including naps.
I sleep longer than 12 hours in a 24-hour period including naps.
Feeling Sad:
I do not feel sad.
I feel sad less than half the time.
I feel sad more than half the time. X
I feel sad nearly all of the time.
Decreased Appetite:
There is no change in my usual appetite.
I eat somewhat less often or lesser amounts of food than usual.
I eat much less than usual and only with personal effort.
I rarely eat within a 24-hour period, and only with extreme personal effort or when others persuade me to eat. X
Increased Appetite:
There is no change from my usual appetite. X
I feel a need to eat more frequently than usual.
I regularly eat more often and/or greater amounts of food than usual.
I feel driven to overeat both at mealtime and between meals.
Decreased Weight (Within the Last Two Weeks):
I have not had a change in my weight.
I feel as if I've had a slight weight loss.
I have lost 2 pounds or more.
I have lost 5 pounds or more.
Increased Weight (Within the Last Two Weeks):
I have not had a change in my weight.
I feel as if I've had a slight weight gain.
I have gained 2 pounds or more.
I have gained 5 pounds or more.
Concentration/Decision-Making:
There is no change in my usual capacity to concentrate or make decisions.
I occasionally feel indecisive or find that my attention wanders.
Most of the time, I struggle to focus my attention or to make decisions. X
I cannot concentrate well enough to read or cannot make even minor decisions.
View of Myself:
I see myself as equally worthwhile and deserving as other people.
I am more self-blaming than usual.
I largely believe that I cause problems for others.
I think almost constantly about major and minor defects in myself. X
Thoughts of Death or Suicide:
I do not think of suicide or death.
I feel that life is empty or wonder if it's worth living. X
I think of suicide or death several times a week for several minutes.
I think of suicide or death several times a day in some detail, or I have made specific plans for suicide or have actually tried to take my life.
General Interest:
There is no change from usual in how interested I am in other people or activities.
I notice that I am less interested in people or activities. X
I find I have interest in only one or two of my formerly pursued activities.
I have virtually no interest in formerly pursued activities.
Energy Level:
There is no change in my usual level of energy.
I get tired more easily than usual.
I have to make a big effort to start or finish my usual daily activities (for example, shopping, homework, cooking or going to work). X
I really cannot carry out most of my usual daily activities because I just don't have the energy.
Feeling Slowed Down:
I think, speak, and move at my usual rate of speed.
I find that my thinking is slowed down or my voice sounds dull or flat.
It takes me several seconds to respond to most questions and I'm sure my thinking is slowed. X
I am often unable to respond to questions without extreme effort.
Feeling Restless:
I do not feel restless.
I'm often fidgety, wringing my hands, or need to shift how I am sitting. X
I have impulses to move about and am quite restless.
At times, I am unable to stay seated and need to pace around.
© 2000, A. John Rush, M.D., Quick Inventory of Depressive Symptomatology (Self Report) (QIDS-SR)

ChinaWhite-

If you are having symptoms of depression for more than two weeks, then you could probably benefit from some treatment.

I understand it's confusing, because there are so many types of depression--everything from a mild depression, called dysthymia, to major depression.

That questionnaire can help your doctor to make a diagnosis and direct you to the right type of help for your situation.

KA