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
