Depression Screening
Name*

Name*

Email Address*

Email Address*

On the list below check how often you have felt this way in the last week.
1.
I was bothered by things that usually don’t bother me.




2.
I did not feel like eating; my appetite was poor.




3.
I felt that I could not shake off the blues even with help from my family.




4.
I felt that I was just as good as other people.




5.
I had trouble keeping my mind on what I was doing.




6.
I felt depressed.




7.
I felt that everything I did was an effort.




8.
I felt hopeful about the future




9.
I thought my life had been a failure.




10.
I felt fearful.




11.
My sleep was restless.




12.
I was happy.




13.
I talked less than usual.




14.
I felt lonely.




15.
People were unfriendly.




16.
I enjoyed life.




17.
I had crying spells.




18.
I felt sad.




19.
I felt that people disliked me.




20.
I could not get “going.”




Possible score is 0-60. A score of 16 or more is considered depressed. Scores may reveal mild to severe depression. Discuss results with your doctor or therapist.

Radloff, L. S. (1997) The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.
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