(no subject)

Oct 04, 2009 13:44



This is based on a 0-4 scale. with 4 being the worst and 0 being the least

0=not at all
1=somewhat
2=Moderately
3=Alot
4=Extremely

1. Feeling Sad or down on the dumps
2. Feeling unhappy or blue
3. Crying spells or tearfulness
4. feeling dicouraged
5. Feeling hopeless
6. Feeling worthless or inadequate
7. low self-esteem
8. guilt or shame
9. criticizing yourself or blaming yourself
10. difficulty making decisions

11. Loss in interest of familly friends and collegues
12. Loneliness
13. Spending less time with family or friends.
14. Loss of motivation
15. Avoiding work or other activities
16. Avoiding work or other activities
17. Loss of pleasure or satisfaction in life

18. Feeling tired
19. Difficulty sleeping or sleeping too much
20. decreased or increased appetite
21. Loss of interest in sex
22. worrying about your health

Answer still with the scale grading:
23. Do you have suicidal thoughts.
24. would you like to end your life?
25. Do you have a plan on harming yourself?

Add up your numbers.

sahar

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