… restless or fidgety?
… so depressed that nothing could cheer you up?
… that everything was an effort?
Q2: The last six questions asked about feelings that might have occurred during the past 30
days. Taking them altogether, did these feelings occur more often in the past 30 days
than is usual for you, about the same as usual, or less often than usual? (If you never
have any of these feelings, select “about the same as usual”)
Q3: During the past 30 days, how many days out of 30 were you totally unable to work or
carry out your normal activities because of these feelings?(Number of Days)
Q4: Not counting the days you reported in response to Q3, how many days in the past
30 were you able to do only half or less of what you would normally have been able
to do, because of these feelings?(Number of Days)
Q5: During the past 30 days, how many times did you see a doctor or other health
professional about these feelings?(Number of Times)
Q6: During the past 30 days, how often
have physical health problems been
the main cause of these feelings?
Do you have or have you ever been diagnosed with any of the following psychological disorders (check all that apply)?
If you responded “other” to the above question, please describe:
Have you been diagnosed with any neurological disorder (e.g. Alzheimer's, Parkinson's)?
If you responded “yes” to the above question, please describe:
Do you have or have you ever been diagnosed with any of the following medical conditions (check all that apply)?