Over the past 2 weeks, how often have you been bothered by the following problems?

(Please tick (✔) your answer)

Never

0

Several

Days

1

More than half the time 2

Almost every day

3

1. Little interest or enjoyment in doing things

2. Feeling sad, depressed or hopeless

3. Difficulty falling or staying asleep, or sleeping too much

4. Feeling tired or lacking energy

5. Poor appetite or overeating

6. Having a low opinion of oneself, or feeling like a failure, or having disappointed one’s family or oneself.

7. Difficulty concentrating, for example, when reading the newspaper or watching television

8. Moving or speaking so slowly that others might have noticed. Or, on the contrary, being so agitated that you could hardly hold still as usual.

9. Thinking it would be better to die or consider harming yourself in some way