Online Symptom Checklist

Depression Checklist

The following is a check list of symptoms related to depression. The completion of this check list in no way confirms or rules out a psychiatric diagnosis of any kind. This check list is provided for informational purposes only. If you have any questions or concerns about the check list or your responses to the checklist feel free to contact Donna@Global-Therapy.com

Over the past two weeks how much have you been disturbed by the following:

	Not at all	Somewhat	Quite a bit	A lot
A loss of interest in things
Problems sleeping: too much, not enough, difficulty falling asleep
Feeling blue, depressed, hopeless
Feeling bad about yourself. Poor self-concept
Feeling tired.
Change in appetite, eating more than normal or less than normal
Difficulty staying focused on things like conversations, reading or TV
Feeling like, or people have commented that you are moving slower or are more fidgety
Thoughts of suicide – even the thought that other people would be better off if you were dead