Questionnaire - Page 5(b) of 9
(1015 maximum possible questions)
Last updated: Oct 09, 2008
THE ANALYST
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This section deals with depression whether current, recurring or in the past only.
520.
Have you experienced depression in the past?
Barely worth mentioning / don't know
No, definitely not
1-2 episodes that were fully resolved
A repeating but tolerable problem
A repeating problem causing difficulties
521.
Are you currently depressed?
Don't know
No
Mildly
Moderatly
Seriously
522.
Whether you have depression now, past depressive episodes or both, how severe is / was it?
Don't know
Mild - can mask it as needed
Moderate - am still able to function
Serious - it affects all that I do
523.
When depressed, do you also feel agitated, anxious or have difficulty falling / staying asleep?
Don't know
No
Yes, to some extent
Definitely
524.
Can you characterize your depressive episodes as feeling "low" with a strong desire to sleep, sleeping a lot and having trouble getting out of bed?
Don't know
No
Yes, to some extent
Definitely
525.
Does your depression seem to develop or worsen during the darker winter months? (This is sometimes known as
seasonal affective disorder
.)
Don't know
No
A little
Noticeably
Very definitely
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