Depression Screening Questionaire

You can print this page and answer the questions in privacy by circling the numbers beside each statement. If the results indicate that you have scored high on the depression continuum, we recommend you bring the results to your family doctor for further assessment and/or contact one of our counsellors if you wish to explore therapeutic options.

Not at All
Several
Days
More than
1/2 the Days
Nearly
every Day
1
Little interest or pleasure in things you used to enjoy
0
1
2
3
2
Feeling down, depressed, or hopeless
0
1
2
3
3
Trouble falling or staying asleep or sleeping too much
0
1
2
3
4
Feeling tired or having little energy
0
1
2
3
5
Poor appetite or overeating
0
1
2
3
6
Feeling bad about yourself - or that you are a failure or have let yourself or your family down
0
1
2
3
7
Trouble consentrating on things, such as reading a newspaper or book or watching television
0
1
2
3
8
Moving or speaking so slowly that other people have noticed, Or: being fidgety or restless
0
1
2
3
9
Thoughts that you would be better off dead, or hurting yourself in some way
0
1
2
3
Add all columns to find total score

Interpretation of Total Score

Total Score
Depression Severity
1 - 4
Minimal depression
5 - 9
Mild depression
10 - 14
Moderate depression
15 - 19
Moderately severe depression
20 - 27
Severe depression

Disclaimer:
This  is  only a preliminary screening test for depression symptoms that does not replace in any way a formal psychiatric evaluation. It is designed to give a preliminary idea about the presence of mild to moderate depression symptoms that indicate the need for an evaluation by a psychiatrist or medical practitioner.