LEARN MORE! Symptoms, Checklists & Tests - 4

  1. Ten Clues that Mental Illness Might be the Problem
  2. Symptoms of Bipolar Disorder
  3. Bipolar Self-Analysis Screening Test
  4. Depression Self-Analysis Checklist
  5. Mania Self-Analysis Checklist

Depression Self-Analysis Checklist

This questionnaire is for informational purposes only. This is no substitute for a qualified health professional for diagnosis and treatment of Depression or Bipolar Disorder.

Instructions:
You might reproduce this scale and use it on a weekly basis to track your moods. It also might be used to show your doctor how your symptoms have changed from one visit to the next.

Changes of five or more points are significant. This scale is not designed to make a diagnosis or take the place of a professional diagnosis. If you suspect that you are depressed or Bipolar, please consult with a mental health professional as soon as possible.

The 18 items refer to how you have felt and behaved DURING THE PAST WEEK.

  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 has 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—more 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