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How have you been feeling since last Monday? |
Have you been working? If not, why not? |
What's your mood been like this past week (compared to when you feel OK)? |
Have you been feeling down or depressed? Sad? Hopeless? Helpless? Worthless? |
Can you describe what this feeling has been like for you? How bad is the feeling? |
Have you been crying at all? |
How have you been feeling about the future? |
Do you feel better with encouragement/reassurance from others? |
Do you feel things will get better, improve, work out? |
In the past week, when something good, even small things have happened, did your mood brighten up? |
How long did this brightened mood last? |
Were there things that occurred that should have brightened your mood but did not? |
In the last week, how often have you felt that way? Every day? All day? |
How long have you been feeling this way? |
In the past week, have you noticed your depressed mood feeling worse at any particular time of the day such as in the morning or evening? |
Is this related to any particular event(s)? |
How much worse do you feel - a little bit or a lot? Even on weekends? |
Have you experienced grief or loss in your life, like the death of a close friend or relative (or pet, lost an important job)? |
Do you remember how you felt? |
How is the sad or down mood you have experienced this week similar to how you felt then? How is it different? |
Have you been putting yourself down this past week, feeling you've done things wrong, or let others down? |
What have your thoughts been? |
Has this been more than is normal for you? |
In the past week, how have you felt about yourself? |
Have you noticed your self-esteem has been down in the past week? |
How would you rate your worth as a person compared to others? |
Have you been feeling guilty about anything that you've done or not done? What about things that happened a long time ago? |
Do you feel like you're being punished? |
Have you thought that you've brought this depression on yourself in some way? |
Have you been hearing voices or seeing visions in the last week? Tell me about them. |
This past week, have you had thoughts that life is not worth living? |
What about thinking you'd be better off dead or wishing you were dead? |
Have you had thoughts of hurting or killing yourself? |
What have you thought about? |
How often do these thoughts come? How long do they stay? |
Have you thought of a plan in the last week? |
Have you done anything to try to hurt yourself or taken any steps toward ending your life? |
What were your usual hours of going to sleep and waking up, before this began? |
When have you been falling asleep and waking up over the past week? |
Have you had any trouble falling asleep at the beginning of the night? Right after you go to bed, how long has it been taking you to fall asleep? |
How many nights this week have you had trouble falling asleep? |
During the past week, have you been waking up in the middle of the night? |
Do you get out of bed? What do you do? (Only go to the bathroom?) |
When you get back in bed, are you able to fall right back asleep? |
How long do you stay awake? |
How many nights this week have you had that kind of trouble? |
Has your sleep been restless or disturbed some nights? |
What time have you been waking up in the morning for the last time, this past week? |
Is that with an alarm clock, or do you just wake up yourself? |
What time do you usually wake up (that is, when you feel well)? |
How many mornings this past week have you awakened early? |
Are you able to go back to sleep? |
How many hours on average have you been sleeping in a 24-hour period in the past week, including naps? Is that a normal amount for you? |
What is the longest you've slept in a 24-hour period last week? |
How have you been spending your time this past week (when not at work)? |
Is that normal for you? |
Have you felt interested in doing those things, or do you feel you have to push yourself to do them? |
How would you describe your level of interest and motivation to complete daily activities? |
Have you stopped doing anything you used to do? What about hobbies? Why? |
About how many hours a day do you spend doing things that interest you? |
Is there anything you look forward to? |
Have you had any fun this past week? |
Has there been anything you enjoyed (meal, movie, spending time with friends)? |
Was the enjoyment you experienced at a normal level for you? |
Have you been able to get as much work done as you usually do? |
How has your concentration been in the past week? |
Were you able to focus on what you were doing (like reading or watching TV)? |
Did you notice that minor decisions were more difficult to make than usual (what to wear, eat, watch on TV)? |
Have you felt slowed down in your thinking, speaking, or movement in the past week? |
Have others commented on this? |
Have you noticed feeling restless or fidgety in the past week? |
Have you found yourself unable to stay seated or needing to move around? |
Have you been feeling especially tense or irritable this past week? Is this more than is normal for you? |
Have you been unusually argumentative or impatient? |
Have you found yourself becoming angry with others for little apparent reason? More so than normal for you? How much of the time in this past week? |
Have you been feeling especially anxious, nervous or on edge in the past week? How much of the time? |
Have you been worrying a lot about little things, things you don't ordinarily worry about? Like what, for example? |
Have you suddenly felt intensely frightened, anxious or extremely uncomfortable? |
Extremely panicky for no apparent reason? |
Has this occurred in the past 7 days? When did it last occur? What happened? |
Are there situations or things that you persistently dislike or avoid because they make you anxious? Any phobias? |
Have you noticed this avoidance increasing in the past week? |
Tell me if you've had any of the following physical symptoms in the past week: dry mouth, gas, indigestion, constipation, diarrhea, stomach cramps, belching, urinary frequency, heart palpitations, headaches, hyperventilating, sighing, difficulty breathing, sweating, tremors, ringing in your ears, blurred vision, hot an... |
How much has the symptom been bothering you this past week? |
How bad has it gotten? |
How much of the time, or how often, have you had it? |
How has your appetite been this past week? What about compared to your usual appetite? |
How much less? |
Have you had to force yourself to eat? |
Have other people had to urge you to eat? Have you skipped meals? |
Have you found yourself eating more than usual? Every day? |
Have you noticed you eat more at meals? |
Have you noticed you are snacking or eating more in between meals? |
Have you felt driven to eat? |
Have you had eating binges? |
How has your energy been this past week? |
Have you felt tired? How much of the time? How bad has it been? |
This week, have you had any aches or pains? What about backaches, headaches, or muscle aches? |
How much of the time? How bad has it been? |
During the past week, have you had feelings of being weighted down, like you had lead weights on your arms and legs? |
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