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