1 How depressed are you?
( ) no ( ) a little ( ) a lot ( ) extremely so
2 Do you feel guilty about things that you have done or thought?
( ) no ( ) a little ( ) a lot ( ) extremely so
3 Is it taking you longer to get off to sleep?
( ) no ( ) sometimes ( ) always
4 Do you sleep fitfully, often wakening?
( ) no ( ) sometimes ( ) always
5 Do you waken earlier than usual and then find yourself unable to get back to sleep?
( ) no ( ) sometimes ( ) always
6 Have you lost interest in your work or hobbies?
( ) no ( ) a little ( ) a lot ( ) extremely so
7 Is life pointless?
( ) no ( ) yes
8 Have you thought on ending it all?
( ) no ( ) yes
9 Have you made plans to kill yourself?
( ) no ( ) yes
10 Have you attempted to, or do you intent to kill yourself?
( ) no ( ) yes
11 Do you feel that you are slower than your normal or usual self?
( ) no ( ) a little ( ) a lot ( ) extremely so
12 Do you feel anxious or tense?
( ) no ( ) a little ( ) a lot ( ) extremely so
13 Do you suffer from any physical symptoms?
( ) no ( ) sometimes ( ) always
14 Are you worried that you might have a serious illness such cancer or AIDS?
( ) no ( ) a little ( ) a lot ( ) extremely so
15 Have you lost interest in sex?
( ) no ( ) sometimes ( ) always
16 Have you lost weight, excluding that due to dieting?
( ) no ( ) yes, but clothes still fit ( ) yes, but clothes are loose
17 Are you at your worst early in the day but improve as the day goes on?
( ) no ( ) sometimes ( ) always
18 Do you feel that either you or the outside world is unreal?
( ) no ( ) a little ( ) a lot ( ) extremely
Number of Questions and Answers: 18
Weight of each item
The items have a type 1 answer and have 4 options, 0, 1, 2 or 3
The items have a type 2 answer and have 3 options, 0, 1 or 2
The items have a type 3 answer has 2 options, 0 or 1
Item 16 has 3 options respectively, 0, 1 or 2
What are the sum levels and their respective resolutions
Score
The final (total) index is obtained by summing items 1 to 18.
A value greater than 12 indicates a clinically relevant depression and deserves to be better evaluated and, probably, treated.
The cutoff point is 12
Severity of depression
| Severity | Score |
| Excellent mood | 0 to 4 |
| Good mood | 5 to 10 |
| Borderline | 11 to 12 |
| Mild depression | 13 to 17 |
| Moderate depression | 18 to 22 |
| Severe depression | over 22 |
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