Depression Screening Survey
If you think you may be depressed, the survey below can help you determine if it is serious enough to seek assistance.
1. Have you felt sad, blue, unhappy, or “down in the dumps”?
2. Have you felt tired, with little energy?
4. Have you had difficulty falling asleep or staying asleep?
5. Have you lost your appetite or find food uninteresting?
6. Have you found yourself crying and don’t even know why?
7. Have you had difficulty concentrating?
8. Have you been unable to enjoy the activities you normally enjoy?
9. Have you noticed a decrease in sexual desire?
10. Have you felt guilty for no rational reason?
11. Have you felt hopeless about things ever getting better?
12. Have you felt that life is not worth living or that others
would be better off if you were not alive?
If you answer Yes to three or more of the questions, or if you answer Yes to #12, call 302-6920 and ask for an intake worker.
Depression Screening Survey
For more than two weeks:
1. Have you felt sad, blue, unhappy, or “down in the dumps”?
2. Have you felt tired, with little energy?
3. Have you felt irritable or short tempered?
4. Have you had difficulty falling asleep or staying asleep?
5. Have you lost your appetite or find food uninteresting?
6. Have you found yourself crying and don’t even know why?
7. Have you had difficulty concentrating?
8. Have you been unable to enjoy the activities you normally enjoy?
9. Have you noticed a decrease in sexual desire?
10. Have you felt guilty for no rational reason?
11. Have you felt hopeless about things ever getting better?
12. Have you felt that life is not worth living or that others
would be better off if you were not alive?
