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TalkDoctors Depression Checklist (brief version)*

Please print this page and follow the instructions below.

Instructions: Place a check in the box to the right of each symptom to indicate how much this type of feeling has been bothering you in the past several days. Then total your score, refer to the scoring key below, and call us toll free at 1-877-368-6000 or E-mail if you score 3 or above.

0 - not at all 1 - somewhat 2 - moderately 3 - a lot
1. Sadness: Have you been feeling sad or down in the dumps?
2. Discouragement: Does the future look bleak or hopeless?
3. Low self-esteem: Do you feel guilty, worthless or inferior to others?
4. Loss of interest in life: Have you lost interest in your career, hobbies, family or friends?
5. Suicidal impulses: Do you think life is not worth living or think you'd be better off dead?**

** Anyone with suicidal urges should seek help from a mental health professional.

Scoring Key for the Depression Checklist

Total Score
Degree of Depression
Action
0
happy
no treatment is needed
1 - 2
normal, but unhappy
no treatment is usually needed
3 - 5
borderline to mild depression
treatment can be helpful
6 -10
moderate depression
treatment is almost always needed
11 - 15
severe depression
treatment is almost always needed


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