0 I do not feel sad.
1 I feel sad much of the time.
2 I'm sad all the time.
3 I'm so sad and unhappy that I can't stand it.

2. PESSIMISM
(What do you think about your future? Is it changed?)

0 I'm not discouraged about my future.
1 I feel more discouraged about my future in the past two weeks.
2 I do not expect things to work out for me.
3 I feel my future is hopeless and will only get worse.

3. PAST FAILURE
(How do you feel your past? Are you a failure?)

0 I do not feel like a failure.
1 I have failed more than I should have.
2 As I look back, I see my life as a series of failures.
3 I feel I am a total failure as a person.

4. LOSS OF PLEASURE

0 I get as much pleasure as I ever did from the things I enjoy.
1 I don't enjoy things as much as I used to.
2 I get very little pleasure from the things I used to enjoy it.
3 I can't get any pleasure from the things I used to enjoy.

5. GUILTY FEELINGS

0 I don't feel particularly guilty.
1 I feel guilty over many things I have done or should have done.
2 I feel quite guilty most of the time.
3 I feel guilty all of the time.

6. PUNISHMENT FEELINGS
(Do you think that you have done wrong or you are wrong and you are being punished for it?)

0 I don't feel I am being punished.
1 I feel I may be punished.
2 I expect to be punished.
3 I feel I am being punished.

7. SELF-DISLIKE

0 I feel the same about myself as ever.
1 I have lost confidence in myself in the past two weeks.
2 I am disappointed in myself.
3 I dislike myself.

8. SELF-CRITICALNESS

0 I don't criticize or blame myself more than usual.
1 I am more critical of myself than I used to be.
2 I criticize myself for all of my faults.
3 I blame myself for everything bad that happens.

9. SUICIDAL THOUGHTS OR WISHES

0 I don't have any thoughts of killing myself.
1 I have thoughts of killing myself, but I would not carry them out.
2 I would like to kill myself.
3 I would kill myself if I had the chance.

10. CRYING

0 I don't cry more than I used to.
1 I cry more than I used to.
2 I cry over every little things.
3 I feel like crying but I can't.

11. AGITATION
(a stirring up or arousing; disturbance of tranquility; disturbance of mind which shows itself by physical excitement)

0 I am no more restless or wound up than usual.
1 I feel more restless or wound up than usual.
2 I am so restless or agitated that it's hard to stay still.
3 I am so restless or agitated that I have to keep moving or doing something.

12. LOSS OF INTEREST

0 I have not lost interest in other people or activities.
1 I am less interested in other people or things in the past two weeks.
2 I have lost most of my interest in other people or things.
3 It's hard to get interested in anything.

13. INDECISIVENESS
(not having or showing the ability to make decisions quickly and effectively)

0 I make decisions about as well as ever.
1 I find it more difficult to make decisions than usual.
2 I have much greater difficulty making decisions than I used to.
3 I have trouble making any decisions.

14. WORTHLESSNESS
(having no real value or use; having no good qualities; deserving contempt)

0 I do not feel I am worthless.
1 I don't think that I'm as worthwhile and useful as I used to.
2 I feel more worthless as compared to other people.
3 I feel utterly worthless.

15. LOSS OF ENERGY

0 I have as much energy as ever.
1 I have less energy in the past two weeks.
2 I don't have enough energy to do very much.
3 I don't have enough energy to do anything.

16. CHANGES IN SLEEPING PATTERN
(Changes in either direction are important. Thus tick the appropriate answer either less or more do you sleep.)

0 I have not experienced any change in my sleeping pattern.
1 I sleep somewhat more OR less than usual.
2 I sleep a lot more OR less than usual.
3 I sleep most of the day. OR I wake up 1-2 hours early and can't get back to sleep.

17. IRRITABLITY
(having or showing a tendency to be easily annoyed or made angry)

0 I am no more irritable than usual.
1 I am more irritable than usual.
2 I am much more irritable than usual.
3 I am irritable all the time.

18. CHANGES IN APPETITE
(Changes in either direction are important. Thus tick the appropriate answer either less or more do you eat.)

0 I have not experienced any change in my appetite.
1 My appetite is somewhat less than usual. OR My appetite is somewhat greater than usual.
2 My appetite is much less than usual. OR My appetite is much greater than usual.
3 I have no appetite at all. OR I crave food all the time.

19. CONCENTRATION DIFFICULTY
(the action or power of focusing one's attention or mental effort)

0 I can concentrate as well as ever.
1 I can't concentrate as well as usual.
2 It's hard to keep my mind on anything for long.
3 I find I can't concentrate on anything.

20. TIREDNESS OR FATIGUE

0 I am no more tired or fatigued than usual.
1 I am more tired or fatigued more easily than usual.
2 I am too tired or fatigued to do a lot of things I used to to do.
3 I am too tired or fatigued to do most of the things I used to to do.

21. LOSS OF INTEREST IN SEX

0 I have not noticed any recent change in my interest in sex.
1 I am less interested in sex than I used to be.
2 I am much less interested in sex now.
3 I have lost interest in sex completely.

Scoring:

You will notice next to each answer you chose is a number (0, 1, 2, 3). Add these numbers together to give you a total and compare them with the scoring information below.

0–9 indicates that a person is not depressed.

10–18 indicates mild-moderate depression.

19–29 indicates moderate-severe depression.

30–63 indicates severe depression.

Higher total scores indicate more severe depressive symptoms.