Depression Checklist

Instructions:   
The following is a list of symptoms that people sometimes have. Select the appropriate box that best describes how much you experienced the symptom during the past week.
*Please answer all the question

0
Not At all

1
Sometimes

2
Moderately

3
A Lot

4
Extremely

Thoughts and Feelings

1. Feeling sad or down in the dump

2. Crying spells or tearfulness

3. Feeling discouraged or hopeless about the future

4. Low self-esteem

5. Feeling worthless or inadequate

6. Guilt or shame

7.  Criticizing yourself or blaming yourself for things

8.  Difficulty making decisions

9.  Feeling angry, resentful or annoyed

10. Frustration

Activities and Personal Relationship

11. Loss of interest in family, friends or colleagues

12. Loneliness

13. Spending less time with family or activities

14. Loss of motivation

15. Loss of interest in work or other activities

16. Avoiding work or other activities

17. Loss of pleasure or satisfaction in life

Physical Symptoms

18. Feeling tired

19. Difficulty sleeping

20. Decreased or increased appetite

21. Loss of interest in sex

22. Worrying about your health

Social Urges

23. Do you have thoughts about death or dying?

24. Would you like to end your life?

25. Do you have a plan for harming yourself?

Mild Depression - You may be suffering from mild degrees of depression. If you find your health, daily life or working efficiency are being affected by your emotion, you should seek help from a mental health professional as soon as possible.

Moderate depression- You may be suffering from moderate degrees of depression. If you find your health, daily life or working efficiency are being affected by your emotion, you should seek help from a mental health professional as soon as possible.

Severe Depression- You may be suffering from severe degrees of depression. If you find your health, daily life or working efficiency are being affected by your emotion, you should seek help from a mental health professional as soon as possible.

Extreme Depression - You may be suffering fromextreme degrees of of depression. If you find your health, daily life or working efficiency are being affected by your emotion, you should seek help from a mental health professional as soon as possible.