In the last two weeks, how often have you felt sad or down?
Never
Rarely
Sometimes
Often
Almost Always
In the last two weeks, how often have you had little interest or pleasure in doing things?
Never
Rarely
Sometimes
Often
Almost Always
How often have you felt anxious or tense without a clear reason?
Never
Rarely
Sometimes
Often
Almost Always
How often have you had difficulty relaxing or “turning off” your mind?
Never
Rarely
Sometimes
Often
Almost Always
How often have you had difficulty falling asleep or staying asleep?
Never
Rarely
Sometimes
Often
Almost Always
How often do you wake up tired, even after sleeping?
Never
Rarely
Sometimes
Often
Almost Always
How often have you felt physically exhausted or without energy?
Never
Rarely
Sometimes
Often
Almost Always
How often have you had trouble concentrating on simple tasks?
Never
Rarely
Sometimes
Often
Almost Always
How often have you become easily irritated or lost your patience?
Never
Rarely
Sometimes
Often
Almost Always
How often do you feel overwhelmed by daily responsibilities?
Never
Rarely
Sometimes
Often
Almost Always
How often have you felt lonely, even when around other people?
Never
Rarely
Sometimes
Often
Almost Always
How often have you avoided meeting people or taking part in social activities?
Never
Rarely
Sometimes
Often
Almost Always
How often do you feel you are not good enough or criticize yourself excessively?
Never
Rarely
Sometimes
Often
Almost Always
How often do you feel guilty for not being able to handle everything?
Never
Rarely
Sometimes
Often
Almost Always
How often do you feel that your faith or spirituality has not been a source of comfort (or feels distant)?
Never
Rarely
Sometimes
Often
Almost Always
How often do you feel that your life lacks direction or purpose?
Never
Rarely
Sometimes
Often
Almost Always
How often do you feel that you cannot control your worries?
Never
Rarely
Sometimes
Often
Almost Always
How often do you notice physical symptoms (muscle tension, headaches, tightness in the chest) related to stress?
Never
Rarely
Sometimes
Often
Almost Always
How often do you have difficulty making decisions, even simple ones?
Never
Rarely
Sometimes
Often
Almost Always
How often do you feel that you need help, but do not know where to start?
Never
Rarely
Sometimes
Often
Almost Always