1. Did something happen recently that might be affecting your mood?
A. Yes
B. Yeah, but not big a deal
C. Not anything new
D. Nope!
2. Do you have the energy to get up in the morning?
A. Always/ I am a morning person
B. I always lie in bed for hours, just can’t seem to pull myself out
C. It’s a little harder than usual
D. Yeah, it’s been really hard to convince myself, to face life lately
3. Are you spending time with friends and/or family?
A. No, I can’t bring myself to see them
B. Why would they want to hang out with me
C. Yeah, actually with them now
D. Sometimes, but I’m not in the mood right now
4. Are you eating normally?
A. I don’t find food appetizing at all
B. Yeah
C. Just a bit more ice cream than usual
D. I definitely have been eating less/more
5. Have you had thoughts of self-harm?
A. Quite a bit
B. Recently
C. No
D. Not at all
6. Does life seem completely impossible and hopeless?
A. Not completely, but yeah, sort of
B. Yes
C. Definitely an exaggeration, but it’s not easy
D. Not at all
7. How are you sleeping of late?
A. I’ve not had trouble
B. Very well
C. Having a lot of trouble
D. Having a little trouble, but I get there
8. Are you taking pleasure in things you enjoy?
A. Very much so
B. I can't even think of things I enjoy
C. It can be hard but I find a way
D. I feel a bit like I have lost that
9. How is your sex drive?
A. Non-existent
B. Great, just as usual!
C. I mean I’m not ready to go now, but it’s definitely present
D. It’s lower than usual
10. Do you find yourself on the verge of tears but you don’t know why?
A. Well, I do, but I know why
B. I’m crying right now, but I will be fine
C. Yes
D. No not at all