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Self-Administered Evaluation: Depression

Take this self-administered evaluation and discover if you may be suffering from chronic depression
or press ENTER
1
How often have you found little interest or pleasure in doing things in the last 2 weeks?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
This question is required
Not a valid answer
2
How often have you had trouble falling or staying asleep or sleeping too much in the last 2 weeks?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
This question is required
Not a valid answer
3
How often have you found yourself feeling tired or having little energy in the last 2 weeks?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
This question is required
Not a valid answer
4
How often have you engaged in poor appetite or overeating in the last 2 weeks?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
This question is required
Not a valid answer
5
How often have you felt bad about yourself or that you are a failure or have let yourself or your family down in the last 2 weeks?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
This question is required
Not a valid answer
6
How often have you had trouble concentrating on things such as reading the newspaper or watching television in the last 2 weeks?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
This question is required
Not a valid answer
7
How often have you found yourself moving or speaking so slowly that other people could have noticed or the opposite being so fidgety or restless that you have been moving around a lot more than usual in the last 2 weeks?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
This question is required
Not a valid answer
8
How often have you had thoughts that you would be better off dead or of hurting yourself in the last 2 weeks?
  • A Never
  • B Some of the time
  • C Most of the time
  • D All of the time
This question is required
Not a valid answer
9
Stop!Please take a moment to review the Suicide Prevention Lifeline website or call 1-800-273-8255 if you feel that you are an immediate danger to yourself or others.
  • A Continue Evaluation
This question is required
Not a valid answer
10
If you have experienced any of the previously mentioned symptoms, how difficult have these problems made it for you at school, work, home, or with other people?
  • A Not difficult
  • B Somewhat difficult
  • C Very difficult
  • D Impossible
This question is required
Not a valid answer
11
Next: Demographics
Next, we will ask for some demographics in order for us to properly understand how mental health conditions vary by age, gender, race, etc.
  • A Next
This question is required
Not a valid answer
12
Please select your age range
  • A 11-17
  • B 18-24
  • C 25-34
  • D 35-44
  • E 45-54
  • F 55-64
  • G 65+
This question is required
Not a valid answer
13
Please select your gender
  • A Male
  • B Female
  • C Transgender
  • D Non-Binary
  • E Gender Fluid
This question is required
Not a valid answer
14
Please select your ethnicity
  • A American Indian or Alaskan Native
  • B Asian
  • C Black or African American
  • D Hispanic or Latino
  • E Middle Eastern or North African
  • F Native Hawaiian or Other Pacific Islander
  • G White
This question is required
Not a valid answer
15
Please select all that apply to you
  • A Veteran or active duty military
  • B Caregiver of someone with emotional or physical illness
  • C LGBTQ+
  • D Student
  • E Trauma survivor
  • F New or expecting mother
  • G Healthcare worker
This question is required
Not a valid answer
16
Have you ever been diagnosed with a mental health condition by a professional (doctor, therapist, etc.)?
  • A Yes
  • B No
This question is required
Not a valid answer
17
Have you ever received treatment/support for a mental health problem?
  • A Yes
  • B No
This question is required
Not a valid answer
18
What state do you live in?
Please use this format (MN, NY, PA, etc...)
This question is required
Please enter your state using letters only
19
What is your zip code?
This question is required
Please enter your zip code using numbers only
20
Please enter your email so we can send you a copy of the evaluation results
This question is required
Please enter valid email address
Thank you for completing this evaluation. A copy of the results has been emailed to you.
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