Depression Measure Worksheet

Severity Measure for Depression—Adult*

  • Date Format: MM slash DD slash YYYY
  • Over the last 7 days, how often have you been bothered by any of the following problems?
  • Input the value that best fits you, (0) Not at all, (1) Several days, (2) More than half the days, (3) Nearly every day.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
  • Please enter a number from 0 to 3.
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