STANFORD MOOD ASSESSMENT SCALE

 

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?

   

Scoring The Stanford Mood Assessment Scale

(Assessing geriatric depression)

 

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

Scoring:  Normal: 0-9

Mild depressives: 10-19

Severe depressives: 20-30

Note: This questionnaire is provided for educational purposes only.  It is not a substitute for consulting with a health professional.  Even if your score on the questionnaire is does not show you are depressed, it is very important to consult with a primary care doctor or a mental health professional if there are concerns.

 

Contact Information:

The Child Center and Adult Services, Inc. - Shady Grove Professional Building,
16220 South Frederick Avenue, Suite 502, Gaithersburg, MD 20877
(T) 301-978-9750 - (F) 301-978-9753 - E-mail: ccas1@verizon.net

Send mail to ccas1@verizon.net with questions or comments. Copyright © 2006 Child Center and Adult Services, Inc.