Depression Questionnaire

26 Quick Questions for You

Use this questionnaire to gain a better understanding of your state of mental health. This tool is not meant to diagnose or treat depression. It can be utilized to track your mood and direct you to a mental health professional who can diagnose and treat depression.


For the best results, track your mood using this tool on a weekly basis and then present your findings to your doctor, if required.


Instructions

For each item, indicate the extent to which it is true, by checking the appropriate box next to the item.


Values for counting:

Never= 0

Sometimes= 1

Often= 2

Always= 3


Questions

1. Do you have trouble sleeping at night due to overthinking or worrying?

  • Never
  • Sometimes
  • Often
  • Always

2. Is your sleep pattern disrupted?

  • Never
  • Sometimes
  • Often
  • Always

3. Are you less engaged with your family or personal activities?

  • Never
  • Sometimes
  • Often
  • Always

4. Do you have thoughts of killing yourself?

  • Never
  • Sometimes
  • Often
  • Always

5. Do you do things more slowly now?

  • Never
  • Sometimes
  • Often
  • Always

6. Do you lack motivation?

  • Never
  • Sometimes
  • Often
  • Always

7. Do you feel hopeless in life?

  • Never
  • Sometimes
  • Often
  • Always

8. Do you find it difficult concentrating when reading?

  • Never
  • Sometimes
  • Often
  • Always

9. Are you finding life unfruitful/not fun?

  • Never
  • Sometimes
  • Often
  • Always

10. Are you having difficulties in decision making?

  • Never
  • Sometimes
  • Often
  • Always

11. Are you feeling fatigued

  • Never
  • Sometimes
  • Often
  • Always

12. Have you lost interest in the things that used to bring you joy?

  • Never
  • Sometimes
  • Often
  • Always

13. Are you feeling agitated?

  • Never
  • Sometimes
  • Often
  • Always

14. Do you feel sad or unhappy?

  • Never
  • Sometimes
  • Often
  • Always

15. Do you feel like you are a failure?

  • Never
  • Sometimes
  • Often
  • Always

16. Do you experience self pity?

  • Never
  • Sometimes
  • Often
  • Always

17. Do you feel guilt and shame?

  • Never
  • Sometimes
  • Often
  • Always

18. Do you hate yourself?

  • Never
  • Sometimes
  • Often
  • Always

19. Do you feel trapped or boxed in?

  • Never
  • Sometimes
  • Often
  • Always

20. Are your problems piling up and becoming unmanageable?

  • Never
  • Sometimes
  • Often
  • Always

21. Are you unhappy even when good things happen to you?

  • Never
  • Sometimes
  • Often
  • Always

22. Do you feel ungrateful?

  • Never
  • Sometimes
  • Often
  • Always

23. Are you isolating from others?

  • Never
  • Sometimes
  • Often
  • Always

24. Are you less engaged at work?

  • Never
  • Sometimes
  • Often
  • Always

25. Are you less engaged in your relationships (family, friends, spouse, coworkers)?

  • Never
  • Sometimes
  • Often
  • Always

26. Have you gained or lost weight unintentionally?

  • Never
  • Sometimes
  • Often
  • Always

What's Your Score?

Score Interpretation

0 to 26- None-Moderate Depression 

27 to 52- Moderate-Severe Depression 

53 to 78- Severely Depressed 


Scores on this test are not meant as a diagnosis tool! You should not take this score to represent a mental disorder diagnosis or any type of behavioral healthcare treatment recommendation. Please consult with your professional health care provider for diagnosis of Depression.

Here's Your Next Step!

To address the root causes of your Depression, you will need to  explore the psychological health barriers that keep causing you to  feel Depressed.  


This is best done with a Life Coach from Gobind Wellness

Anxiety Questionnaire

7 Quick Questions for You

Use this questionnaire to gain a better understanding of your state of mental health concerning anxiety. Please note, this tool is not meant to diagnose or treat anxiety. It can be utilized to track your mood and direct you to a mental health professional who can diagnose and treat anxiety.

For the best results, track your mood using this tool on a bi weekly basis and then present your findings to your doctor, if required.


Instructions

For each item, indicate the extent to which it is true, by checking the appropriate box next to the item.


Values for counting:

Never= 0

Sometimes= 1

Often= 2

Always= 3

 

Questions

1. Worrying about people, places and things

  • Never
  • Sometimes
  • Often
  • Always

2. Unable to control your worrying or stop completely

  • Never
  • Sometimes
  • Often
  • Always

3. Feeling anxious, fearful or nervous

  • Never
  • Sometimes
  • Often
  • Always

4. Trouble sleeping at night or relaxing during the day

  • Never
  • Sometimes
  • Often
  • Always

5. Feeling negative and thinking something bad might happen

  • Never
  • Sometimes
  • Often
  • Always

6. Unable to sit still due to being restless

  • Never
  • Sometimes
  • Often
  • Always

7. Becoming easily irritable, discontent and annoyed 

  • Never
  • Sometimes
  • Often
  • Always

What's Your Score?

Score Interpretation

0 to 7- None-Moderate Anxiety 

8 to 14- Moderate-Severe Anxiety 

15 to 21- Severe Anxiety 


Scores on this test are not meant as a diagnosis tool! You should not take this score to represent a mental disorder diagnosis or any type of behavioral healthcare treatment recommendation. Please consult with your professional health care provider for diagnosis of Anxiety.

Here's Your Next Step!

  

To address the root causes of your Anxiety, you will need to  explore the psychological health barriers that keep causing you to  feel Anxious.  


This is best done with a Life Coach from Gobind Wellness

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