Help for depression is available! We use the most current forms of Cognitive Behavioral Therapy to assist in the reduction of depression. We will also work closely with your psychiatrist or prescribing physician to tailor a treatment plan.

Here are a few questions to help determine the level of sadness. Please complete this print-it-out, and bring it in with you on your first appointment.

Circle the appropriate descriptor below the question.

1. I do things slowly.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

2. My future seems hopeless.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

3. It is hard for me to concentrate on reading.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

4. The pleasure and joy have gone out of my life.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

5. I have difficulty making decisions.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

6. I have lost interest in aspects of life that used to be important to me.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

7. I feel sad, blue, and unhappy.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

8. I am agitated and keep moving around.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

9. I feel fatigued.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

10. It takes great effort for me to do simple things.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

11. I feel that I am a guilty person who deserves to be punished.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

12. I feel like a failure.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

13. I feel lifeless — dead than alive.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

14. My sleep has been disturbed — too little, too much, or broken sleep.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

15. I spend time thinking about HOW I might kill myself.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

16. I feel trapped or caught.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

17. I feel depressed even when good things happen to me.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

18. Without trying to diet, I have lost, or gained weight.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much