[in which paul fills out paperwork]
1. I do things slowly.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
2. My future seems hopeless.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
3. It is hard for me to concentrate on reading.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
4. The pleasure and joy has gone out of my life.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
5. I have difficulty making decisions.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
6. I have lost interest in aspects of life that used to be important to me.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
7. I feel sad, blue, and unhappy.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
8. I am agitated and keep moving around.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
9. I feel fatigued.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
10. It takes great effort for me to do simple things.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
11. I feel that I am a guilty person who deserves to be
punished.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
12. I feel like a failure.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
13. I feel lifeless -- more dead than alive.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
14. My sleep has been disturbed -- too little, too much,
or broken sleep.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
15. I spend time thinking about HOW I might kill myself.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
16. I feel trapped or caught.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
17. I feel depressed even when good things happen to me.
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
18. Without trying to diet I have lost weight (or gained weight).
o Not at all
o Just a little
o Somewhat
o Moderately
o Quite a lot
o Very much
Add up all your points to obtain a total score