This questionnaire diagnoses and measures the severity of depression.

Over the last two weeks, how often have you been bothered by any of the following problems?

Little interest or pleasure in doing things
Feeling down, depressed, or hopeless
Trouble falling or staying asleep
Sleeping too much
Feeling tired or having little energy
Poor appetite
Feeling bad about yourself; feel like a failure
Trouble concentrating on things (such as reading)
Moving or speaking noticeably slower
Moving or speaking noticeably faster
Thoughts that you'd be better off dead
Thoughts about hurting yourself in some way
If you check off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?

Please fill out all required fields and click the "Submit" button at the end of the questionnaire. 

Following completion, an email will be sent to you with results and how to follow up.

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