Mood and anxiety self-assessment

Over the last 2 weeks, how often have you been bothered by any of the following problems?

1. 1. Little interest or pleasure in doing things

   Not at allSeveral daysMore than half the daysNearly every day
2. 2. Feeling down, depressed, or hopeless

   Not at allSeveral daysMore than half the daysNearly every day
3. 3. Trouble falling or staying asleep, or sleeping too much

   Not at allSeveral daysMore than half the daysNearly every day
4. 4. Feeling tired or having little energy

   Not at allSeveral daysMore than half the daysNearly every day
5. 5. Poor appetite or overeating

   Not at allSeveral daysMore than half the daysNearly every day
6. 6. Feeling bad about yourself — or that you are a failure or have let yourself or your family down

   Not at allSeveral daysMore than half the daysNearly every day
7. 7. Trouble concentrating on things, such as reading the newspaper or watching television

   Not at allSeveral daysMore than half the daysNearly every day
8. 8. Moving or speaking so slowly that other people could have noticed, or the opposite — being so fidgety or restless that you have been moving around a lot more than usual

   Not at allSeveral daysMore than half the daysNearly every day
9. 9. Thoughts that you would be better off dead, or of hurting yourself in some way

   Not at allSeveral daysMore than half the daysNearly every day