1. Feeling sad or empty inside.

Never Sometimes Often Always

2. Feeling discouraged about the future.

Never Sometimes Often Always

3. Feeling like a failure or disappointment.

Never Sometimes Often Always

4. Blaming yourself when things go wrong.

Never Sometimes Often Always

5. Losing interest in people and activities.

Never Sometimes Often Always

6. Finding it hard to make decisions.

Never Sometimes Often Always

7. Feeling tired and low on energy.

Never Sometimes Often Always

8. Thinking you would be better off gone.

Never Sometimes Often Always

9. Feeling that life is not worth living.

Never Sometimes Often Always

10. Feeling anxious or wound up.

Never Sometimes Often Always

11. Loss of pleasure in daily life.

Never Sometimes Often Always

12. Feeling unattractive or unlovable.

Never Sometimes Often Always

13. Crying more than usual, or unable to cry.

Never Sometimes Often Always

14. Eating much more or much less than before.

Never Sometimes Often Always

15. Sleeping poorly or far too much.

Never Sometimes Often Always

16. Moving or speaking more slowly than usual.

Never Sometimes Often Always

17. Restless and unable to settle.

Never Sometimes Often Always

18. Trouble focusing on reading or TV.

Never Sometimes Often Always

19. Feeling others would be better off without you.

Never Sometimes Often Always

20. Loss of self-confidence.

Never Sometimes Often Always

21. A sense of heaviness in the body or chest.

Never Sometimes Often Always