Maker LogoSuper Survey Maker
Survey MakerSurvey TemplatesContactPrivacy & Security

Depression Survey - Have you been bothered by any of the following problems over the last 2 weeks?

1. Little interest or pleasure in doing things
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
2. Feeling down, depressed, or hopeless
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
3. Trouble falling or staying asleep, or sleeping too much
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
4. Feeling tired or having little energy
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
5. Poor appetite or overeating
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
7. Trouble concentrating on things, such as reading the newspaper or watching television
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
8. Moving or speaking so slowly that other people could have noticed
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
9. Thoughts that you would be better off dead, or of hurting yourself
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
10. If you checked off any problems, how difficult have these problems made it for you at work?
NOT DIFFICULT AT ALL
SOMEWHAT DIFFICULT
VERY DIFFICULT
EXTREMELY DIFFICULT
11. Have you been diagnosed with depression?
YES
NO
RATHER NOT SAY
12. What is your age?
18-24
25-34
35-44
45-54
55-64
65+
{"name":"Depression Survey - Have you been bothered by any of the following problems over the last 2 weeks?", "url":"https://www.supersurvey.com/QPREVIEW","txt":"1. Little interest or pleasure in doing things, 2. Feeling down, depressed, or hopeless, 3. Trouble falling or staying asleep, or sleeping too much","img":"https://www.supersurvey.com/3012/images/ogquiz.png"}

More Surveys

Upcoming Events
5238
Interschool senior sport participation
7419
  Michigan Rubber Group - 2024 Ballot Ballots must be returned by Tuesday, 12/05/23 Choose one candidate for each position A Write-in Candidate option is available (click other to write-in candidate)
210
Kern County School Survey
1050
2021 West Liberty Beautification Award Voting
100
Consultation on future of Rothwell Cluster Support and Guidance meetings
5220
Competiton!
420
Vaikystės skaitiniai
1050
Make your own Survey
- it's free to start.
Super Survey Logo
Powered by
Super Survey Maker Make your own Survey