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Wednesday 7am - 4pm
Thursday 7am - 7pm
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Beck's Depression Inventory
Patient's Legal Name:
required
First Name
Last Name
Date of Birth:
required
1
I do not feel sad
I feel sad
I am sad all the time and I can't snap out of it
I am so sad and unhappy that I can't stand it
2
I am not particularly discouraged about the future
I feel discouraged about the future
I feel I have nothing to look forward to
I feel the future is hopeless and that things cannot improve
3
I do not feel like a failure
I feel I have failed more than the average person
As I look back on my life, all I can see is a lot of failures
I feel I am a complete failure as a person
4
I get as much satisfaction out of things as I used to
I don't enjoy things the way I used to
I don't get real satisfaction out of anything anymore
I am dissatisfied or bored with everything
5
I don't feel particularly guilty
I feel guilty a good part of the time
I feel quite guilty most of the time
I feel guilty all of the time
6
I don't feel I am being punished
I feel I may be punished
I expect to be punished
I feel I am being punished
7
I don't feel disappointed in myself
I am disappointed in myself
I am disgusted with myself
I hate myself
8
I don't feel I am any worse than anybody else
I am critical of myself for my weaknesses or mistakes
I blame myself all the time for my faults
I blame myself for everything bad that happens
9
I don't have any thoughts of killing myself
I have thoughts of killing myself, but I would not carry them out
I would like to kill myself
I would kill myself if I had the chance
10
I don't cry any more than usual
I cry more now than I used to
I cry all the time now
I used to be able to cry, but now I can't cry even though I want to
11
I am no more irritated by things than I ever was
I am slightly more irritated now than usual
I am quite annoyed or irritated a good deal of the time
I feel irritated all the time
12
I have not lost interest in other people
I am less interested in other people than I used to be
I have lost most of my interest in other people
I have lost all of my interest in other people
13
I make decisions about as well as I ever could
I put off making decisions more than I used to
I have greater difficulty in making decisions more than I used to
I can't make decisions at all anymore
14
I don't feel that I look any worse than I used to
I am worried that I am looking old or unattractive
I feel there are permanent changes in my appearance that make me look unattractive
I believe that I look ugly
15
I can work about as well as before
It takes an extra effort to get started at doing something
I have to push myself very hard to do anything
I can’t do any work at all
16
I can sleep as well as usual
I don't sleep as well as I used to
I wake up 1-2 hours earlier than usual and find it hard to get back to sleep
I wake up several hours earlier than I used to and cannot get back to sleep
17
I don't get more tired than usual
I get tired more easily than I used to
I get tired from doing almost anything
I am too tired to do anything
18
My appetite is no worse than usual
My appetite is not as good as it used to be
My appetite is much worse now
I have no appetite at all anymore
19
I haven't lost much weight, if any, lately
I have lost more than five pounds
I have lost more than ten pounds
I have lost more than fifteen pounds
20
I am no more worried about my health than usual
I am worried about physical problems like aches, pains, upset stomach, or constipation
I am very worried about physical problems and it's hard to think of much else
I am so worried about my physical problems that I cannot think of anything else
21
I have not noticed any recent change in my interest in sex
I am less interested in sex than I used to be
I have almost no interest in sex
I have lost interest in sex completely
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