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This check list is designed to help people who feel they may be suffering from symptoms of depression. It is important to note that this is not a diagnostic instrument. The purpose of the screening questionnaire is to present a wide range of the symptoms of depression.
YES:NO: 
1. Are you basically satisfied with your life?
2. Have you dropped/lost interest in many of your usual activities?
3. Do you feel that your life is empty?
4. Do you often get bored and/or lack spontaneity?
5. Are you in good spirits most of the time?
6. Are you afraid that something bad is going to happen to you?
7. Do you feel happy most of the time?
8. Do you often feel helpless?
9. Do you prefer to stay at home, rather than going out and doing new things?
10. Do you feel you have more problems with memory/concentration than most?
11. Do you think it is wonderful to be alive now?
12. Do you feel pretty worthless the way you are now?
13. Do you feel full of energy?
14. Do you feel that your situation is hopeless?
15. Do you think most people are better off than you are?
16. Do you struggle with your appetite and have you experienced recent weight changes (either gain or loss)?