Are You Happy As a Clam OR Depressed As Dirt?


Your Age:
Your Gender (M or F):

I feel sad or down.
Always
Often
Sometimes
Seldom
Never

I feel irritable and easily annoyed.
Always
Often
Sometimes
Seldom
Never

I feel restless and cannot sit still.
Always
Often
Sometimes
Seldom
Never

I feel worn out or burnt out.
Always
Often
Sometimes
Seldom
Never

I am sensitive around others. I notice even the subtlest insult or mocking tone of voice.
Always
Often
Sometimes
Seldom
Never

I have a hard time falling asleep or sleeping thoughout the night.
Always
Often
Sometimes
Seldom
Never

I cannot fall asleep at night because I keep replaying the things going on in my life.
Always
Often
Sometimes
Seldom
Never

I feel fatigued or weak even after a good rest.
Always
Often
Sometimes
Seldom
Never

When I wake up every morning, I feel like there is nothing to look forward to.
Always
Often
Sometimes
Seldom
Never

I have trouble focusing or concentrating.
Always
Often
Sometimes
Seldom
Never

I make decisions quickly and easily.
Always
Often
Sometimes
Seldom
Never

I've lost interest doing in activities that I normally enjoy very much.
Always
Often
Sometimes
Seldom
Never

I get mad at myself when I realize I have not achieved the goals I have set out to reach.
Always
Often
Sometimes
Seldom
Never

I start crying for no apparent reason.
Always
Often
Sometimes
Seldom
Never

When something is bothering me, I cannot stop obsessing over it.
Always
Often
Sometimes
Seldom
Never

I over analyze situations and find problems that donít really exist.
Always
Often
Sometimes
Seldom
Never

When things go wrong in my life, I feel like there is more bad news to come.
Always
Often
Sometimes
Seldom
Never

I feel worthless.
Always
Often
Sometimes
Seldom
Never

I can forgive myself easily.
Always
Often
Sometimes
Seldom
Never

I have a persistent feeling of emptiness or loneliness.
Always
Often
Sometimes
Seldom
Never

I feel physically or mentally slower than a snail.
Always
Often
Sometimes
Seldom
Never

I feel sorry for myself and feel like a failure.
Always
Often
Sometimes
Seldom
Never

I feel that nobody loves me.
Always
Often
Sometimes
Seldom
Never

I have no interest in sex.
Always
Often
Sometimes
Seldom
Never

I feel I do not deserve love.
Always
Often
Sometimes
Seldom
Never

I screw up everything I touch.
Always
Often
Sometimes
Seldom
Never

I feel like I am hurting people by just being around them.
Always
Often
Sometimes
Seldom
Never

I feel as though I am a burden.
Always
Often
Sometimes
Seldom
Never

I still blame myself even if I know it's not my fault.
Always
Often
Sometimes
Seldom
Never

I experience extreme mood swings.
Always
Often
Sometimes
Seldom
Never

My appetite has changed and I've lost or gained ____ recently.
Less than 5 lbs
5-10 lbs
10 - 15 lbs
15- 20 lbs
More than 20 lbs

My body aches.
Always
Often
Sometimes
Seldom
Never

I feel that improving my life is a futile effort.
Always
Often
Sometimes
Seldom
Never

When something goes wrong in my life, I get stuck in a rut, and it takes me forever to pull myself out of it.
Always
Often
Sometimes
Seldom
Never

Even if I perform admirably on a task, I focus in on the few areas where I didnít excel.
Always
Often
Sometimes
Seldom
Never

When friendships or relationships end, I blame myself rather than the other person.
Always
Often
Sometimes
Seldom
Never

Problems in my life tend to spiral out of control because I cannot control them.
Always
Often
Sometimes
Seldom
Never

In the last 6 months, I've experienced a job loss or other source of significant income, loss of business or major investments.
TRUE
FALSE
--
--
--

In the last 6 months, I've experienced the loss of a home due to natural catastrophe, financial problems, divorce etc.
TRUE
FALSE
--
--
--

In the last 6 months, I've witnessed a catastrophe, war, or a violent death.
TRUE
FALSE
--
--
--

In the last 6 months, I've experienced a divorce, separation or break-up of a long-term relationship.
TRUE
FALSE
--
--
--

In the last 6 months, I've experienced the death of someone close to me.
TRUE
FALSE
--
--
--

In the last 6 months, I've been diagnosed with a serious illness or someone close to me has been diagnosed with one.
TRUE
FALSE
--
--
--

I take some pleasure in other people's misfortune.
Always
Often
Sometimes
Seldom
Never

I can pick a disapproving face out of a crowd amongst a whole lot of happy faces.
Always
Often
Sometimes
Seldom
Never

I feel hopeless and think about death.
Always
Often
Sometimes
Seldom
Never

I have recurrent thoughts about ending my life.
Always
Often
Sometimes
Seldom
Never

I am full of energy.
Always
Often
Sometimes
Seldom
Never

I am happy and full of life.
Always
Often
Sometimes
Seldom
Never

I feel I am a valuable member of society.
Always
Often
Sometimes
Seldom
Never





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