DO I (OR SOMEONE I CARE ABOUT) HAVE DEPRESSION?

NOTE: You may find it useful to print out this questionnaire, complete it and bring it to your psychologist or doctor.

 

Answer the following questions based on how you, or someone close to you, have been feeling most of the time over the past 2 weeks.  Answer as quickly as you can, so you do not become confused by conflicting thoughts.

Symptoms of Depressive Illness Questionnaire

 

For most of the time over the past two weeks
1. Have you had trouble keeping your mind on things you were reading, or watching on television?  

YES

 

NO

       
2. Have you had more trouble with your memory than usual? YES NO
       
3. Have you feeling unusually tired every day? YES NO
       
4. Have you found it hard to enjoy life? YES NO
       
5. Have you had a lot of different physical symptoms or unusual pains? YES NO
       
6. Have you been feeling emotionally numb, not caring, sad, unhappy or miserable? YES NO
       
7. Have you been feeling more pessimistic or negative than usual? YES NO
       
8. Have you lost interest or enjoyment in the things you normally do? YES NO
       
9. Have you been less motivated, less productive, or found it more difficult to cope than usual?  

YES

 

NO

       
10. Have you been sleeping worse than usual? YES NO
       
11. Have you been less interested in talking to people or mixing with people than usual?  

YES

 

NO

       
12. Have you been more worried, nervous or uptight than usual? YES NO
       
13. Have you been more easily tearful, or crying more than usual? YES NO
       
14. Have you enjoyed your food less than usual? YES NO
       
15. Has your sexual interest been less than usual? YES NO
       
16. Have you been less self-confident than usual? YES NO
       
17. Have you been more anxious, nervous or worried than usual? YES NO
       
18. Have you been more easily annoyed or more impatient than usual? YES NO
       
19. Has life seemed meaningless? YES NO
       
20. Has dying looked like a good option? YES NO
       

 

RESULT:  Answering ‘Yes’ to more than 2 or 3 questions suggests you could have depression.  Answering ‘Yes” to lots of the questions makes it increasingly likely you do have depression, the illness that can cause lots of suffering for you (and lots of worry for those close to you) but the illness can be very effectively wiped out.

 

 

 

If in fact you find you have a large number of symptoms, it makes the diagnosis of your illness more certain, and it also provides a bigger chemical target for antidepressant medications to assist you.

 

 

Academic note: This is a clinically derived questionnaire, which has not been statistically investigated.

 

 

 

 

Important Disclaimer:  This site is medical information only, and is not to be taken as diagnosis, advice or treatment, which can only be decided by your own doctor.

 

30 thoughts on “Depression questionnaire

  1. Jhon Paul Graeme O. Green says:

    Goodevening! We just want to ask for your permission if we can borrow and use your questions for our research survey. Thank you.

  2. Jeffrey Manzano says:

    Good day! We are currently conducting an undergraduate research about teenage depression and, in this connection, may we ask your permission to use your questionnaire for our research survey as well. We are looking forward to hear a word from you regarding this undertaking. Thank you in advance!

  3. Admin says:

    Dear Jhon, Jeffrey, and Karen,

    Anxiety and depression are a massive epidemic in students both in high schools and in tertiary education, with 1 in 4 being affected apparently. I congratulate your group on your research interest in this area.

    Yes, you may use the questionnaire, on the understanding you will give the source and my name

    Regards

    David Horgan
    Clinical Associate Professor

  4. Hamna Khalid says:

    Hi. We are working on a research article, about depression and wanted to ask for your permission, if we could use your questionnaire in our research.
    Thank you.

  5. Laica says:

    Hi. We just want to ask for your permission, if we can borrow and use your questionnaire for our research survey. Thank you

  6. Maree says:

    Good day! We are currently conducting a research and I would like to ask for your permission if we could use your questionnaire for our paper. Simce we are discussing about depression, your questions are more precise and is really connected to it. Hope to hear from you soon! God bless

  7. Melany Maguindanao says:

    Hi! I am currently conducting a research on depression among freshmen college students…can I possibly ask foph permission to use your instrument as reference?

  8. Melany Maguindanao says:

    Hi! I am currently conducting a research on depression among freshmen college students…can I possibly ask foph permission to use your instrument as reference or can I use it for my screening purposes?

  9. Pete says:

    Good day! I am currently conducting a research about depression and, in this connection, may I ask your permission to use your questionnaire for my survey . It would be very helpful not only for me but mostly to the beneficiaries of my research. I hope to hear you soon. Thank you and God Bless!

  10. Greg McMahon says:

    I get depression when I encounter a trigger/relapse to my military caused PTSD. However due to having a persistent Autonomic Neuropathy Atrial Fibrillation, I take Cardizem 120mg pill in the pocket for AF, as my BP iiiis low 103/55, ie fast irregular heart rate I can NOT safely take any antidepressants or antipsychotics, as their side effects have cause irregular heart rate. I have been on antidepressants since aged 32, now I am 70, all I can do when I get a relapse and/or suicidal depression is Mindfulness & relaxation exercises, it takes longer to recover..but I don’t have any or option. I have stopped drinking in 2009.

  11. Sam Clark says:

    Ive been kidnapping children for a good couple of years now and in the process have been trying to find the man for me. A couple of months ago in the middle of the night I came across this man that was so hot I just couldn’t resist, I tried first to call him in the van and when he didn’t come I tried to force him in there, I ended up accidentally running him over and after this i’ve had constant depression, my life is worthless now and the only thing that im holding on for is the kiddies I currently own.

  12. Master Yoda says:

    I cant drink water without thinking about how Karen stole my kids, i am now going to kill myself for the will of Allah
    Master Yoda out

  13. dr ekong victor says:

    good day, I find your questionnaire quite interesting to use as a tool for my project, can I go ahead and make us of it?
    also I will like to find out if you have any other template of questionnaire still on depression

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