Questionnaire on Depression

Depression Questionnaire

Introduction: This questionnaire is designed to help understand your emotional well-being and identify symptoms of depression. It is not a diagnosis, but a way to better understand your feelings. Please answer honestly, and if you are struggling, reach out to a mental health professional.

1. Personal Information

• Name: Sarah Williams
• Age: 24
• Gender: Female
• Occupation/Student Level: Graduate Student
• Have you experienced persistent sadness in the past few weeks?
  • A) Yes

2. Emotional Well-being (MCQs)

Q1: How often have you felt down, depressed, or hopeless in the past two weeks?

• A) Almost every day

Q2: How often do you have little interest or pleasure in doing things you used to enjoy?

• B) Several days

Q3: How often do you feel tired or have little energy, even after rest?

• A) Almost every day

3. Thoughts and Feelings (Likert Scale)

Q4: Please rate your agreement with the following statements:

• I feel good about myself.
  • Disagree
• I have trouble concentrating or making decisions.
  • Agree
• I feel like a burden to others.
  • Neutral

4. Physical and Behavioral Changes

Q5: Have you experienced changes in your appetite or weight recently?

• B) Yes, I’m eating less

Q6: How is your sleep?

• B) I have trouble falling or staying asleep

5. Open-Ended Questions

Q7: What are some things that help lift your mood when you’re feeling down?

• Listening to music, going for a walk, and talking to close friends help me feel a bit better.

Q8: What changes in your daily routine or activities have you noticed recently?

• I’ve noticed that I have less motivation to do things I used to enjoy, and I’ve been sleeping a lot less.

6. General Emotional Health

Q9: On a scale of 1 to 10, how would you rate your overall emotional well-being?

• 3/10

7. Closing Remarks

Thank you for your responses. Please consider talking to a professional if you’re feeling overwhelmed. You’re not alone, and support is available.