| A. Over the last 2 weeks, how often have you been bothered by any of the following problems? | Not at all (0) | Several days (1) | More than half the days (2) | Nearly every day (3) |
| Q1. Little interest or pleasure in doing things | ||||
| Q2. Feeling down, depressed, or hopeless | ||||
| Q3. Trouble falling or staying asleep, or sleeping too much | ||||
| Q4. Feeling tired or having little energy | ||||
| Q5. Poor appetite or overeating | ||||
| Q6. Feeling bad about yourself or that you are a failure or have let yourself or your family down | ||||
| Q7. Trouble concentrating on things, such as reading the newspaper or watching television | ||||
| Q8. Moving or speaking so slowly that other people could have noticed. Or the opposite being so fidgety or restless that you have been moving around a lot more than usual | ||||
| Q9. Thoughts that you would be better off dead, or of hurting yourself in some way |