1 2 3 4

Not at Sever More Nearly WM Description

all al than everyd
days half the ay
days

1. Little interest or pleasure in 33 49 13 5 1.9 Several days

doing things.

2. Feeling down, depressed or 19 42 29 10 2.3 Several days

hopeless

3. Trouble falling or staying 35 47 10 8 1.91 Several days

asleep, or sleeping too much.

4. Feeling tired or having little 41 40 12 7 1.85 Several days

energy

5. Poor appetite or overeating 57 25 13 5 1.66 Not at all

6. Feeling bad about yourself - or 39 36 18 17 2.12 Several days

that you are a failure or have let
yourself or your family down.

7. Trouble concentrating on 62 20 15 3 1.59 Not at all

things, such as reading the
newspaper or watching television.

8. Moving or speaking so slowly 69 23 7 1 1.4 Not at all

that other people could have
noticed

9. Thoughts that you would be 20 36 22 22 2.46 Several days

better off dead, or of hurting
yourself.

10. How often did you feel tired 16 39 30 15 2.44 Several days
out for no good reason?

11. How often did you feel nervous? 65 23 10 2 1.49 Not at all
12. How often did you feel so 59 33 5 3 1.52 Not at all
nervous that nothing could calm
you down?

13. How often did you feel 20 45 22 13 2.28 Several days

hopeless?

14. How often did you feel restless 56 33 9 2 1.57 Not at all
or fidgety?

15. How often did you feel so 66 26 6 2 1.44 Not at all

restless you could not sit still?

16. How often did you feel 30 33 33 7 2.17 Several days

depressed?

17. How often did you feel that 16 39 28 17 2.46 Several days
everything was an effort?

18. How often did you feel so sad 12 45 37 6 2.37 Several days
that nothing could cheer you up?

19. how often did you feel 11 31 41 17 2.64 More than half
worthless? the days

20. If you checked off any 24 48 23 5 2.09 Several days

problems, how difficult have these
problems made it for you at work,
home, or with other people?

Over-all Weighted Arithmetic 1.98 Several days

Mean

Legend: 3.26 – 4.00 – Nearly Everyday 1.76 – 2.50 – Several days

2.51 – 3.25 – More than half the days 1.00 – 1.75 – Not at all