|
|
Yes |
No |
| 1. Are you basically
satisfied with your life? |
|
|
| 2. Have you dropped
many of your activities and interests? |
|
|
| 3. Do you feel
that your life is empty? |
|
|
| 4. Do you often
get bored? |
|
|
| 5. Are you hopeful
about the future? |
|
|
| 6. Are you bothered
by thoughts you can’t get out of your head? |
|
|
| 7. Are you in
good spirits most of the time? |
|
|
| 8. Are you afraid
that something bad is going to happen to you? |
|
|
| 9. Do you feel
happy most of the time? |
|
|
| 10. Do you often feel helpless? |
|
|
| 11. Do you often get restless and fidgety? |
|
|
| 12. Do you prefer to stay at home, rather than going out
and doing new things? |
|
|
| 13. Do you frequently worry about the future? |
|
|
| 14. Do you feel you have more problems with memory than
most? |
|
|
| 15. Do you think it is wonderful to be alive now? |
|
|
| 16. Do you often feel downhearted and blue? |
|
|
| 17. Do you feel pretty worthless the way you are now? |
|
|
| 18. Do you worry a lot about the past? |
|
|
| 19. Do you find life very exciting? |
|
|
| 20. Is it hard for you to get started on new projects? |
|
|
| 21. Do you feel full of energy? |
|
|
| 22. Do you feel that your situation is hopeless? |
|
|
| 23. Do you think that most people are better off than
you are? |
|
|
| 24.
Do you frequently get upset over little things? |
|
|
| 26.
Do you have trouble concentrating? |
|
|
| 27.
Do you enjoy getting up in the morning? |
|
|
| 28.
Do you prefer to avoid social gatherings? |
|
|
| 29.
Is it easy for you to make decisions? |
|
|
| 30.
Is your mind as clear as it used to be? |
|
|
|
|
Yes |
No |
| 1. Are you basically satisfied with
your life? |
|
1 |
| 2. Have you dropped many of your activities
and interests? |
1 |
|
| 3. Do you feel that your life is empty? |
1 |
|
| 4. Do you often get bored? |
1 |
|
| 5. Are you hopeful about the future? |
|
1 |
| 6. Are you bothered by thoughts you
can’t get out of your head? |
1 |
|
| 7. Are you in good spirits most of the
time? |
|
1 |
| 8. Are you afraid that something bad
is going to happen to you? |
1 |
|
| 9. Do you feel happy most of the time? |
|
1 |
| 10.
Do you
often feel helpless? |
1 |
|
| 11.
Do you
often get restless and fidgety? |
1 |
|
| 12.
Do you
prefer to stay at home, rather than going out and doing new
things? |
1 |
|
| 13.
Do you
frequently worry about the future? |
1 |
|
| 14.
Do you
feel you have more problems with memory than most? |
1 |
|
| 15.
Do you
think it is wonderful to be alive now? |
|
1 |
| 16.
Do you
often feel downhearted and blue? |
1 |
|
| 17.
Do you
feel pretty worthless the way you are now? |
1 |
|
| 18.
Do you
worry a lot about the past? |
1 |
|
| 19.
Do you
find life very exciting? |
|
1 |
| 20.
Is it
hard for you to get started on new projects? |
1 |
|
| 21.
Do you
feel full of energy? |
|
1 |
| 22.
Do you
feel that your situation is hopeless? |
1 |
|
| 23.
Do you
think that most people are better off than you are? |
1 |
|
| 24.
Do you frequently get upset over little things? |
|
1 |
| 25.
Do you frequently feel like crying? |
1 |
|
| 26.
Do you have trouble concentrating? |
1 |
|
| 27.
Do you enjoy getting up in the morning? |
|
1 |
| 28.
Do you prefer to avoid social gatherings? |
1 |
|
| 29.
Is it easy for you to make decisions? |
|
1 |
| 30.
Is your mind as clear as it used to be? |
|
1 |