0 of 26 questions.
Do you or have you suffered from low moods lasting for a period of two weeks or more at any time?
Are you finding it hard to function properly at work or school?
Do you suffer from headaches and or muscles aches not related to a physical medical condition?
How would you describe your self-esteem on a daily basis?
Have/Do you have any thoughts of harming yourself?
Have you ever physically harmed yourself e.g. cutting, scratching, punching, other?
Any suicidal thoughts?
Have you been diagnosed with depression or any other mood disorder?
If you were asked to do a long or slightly difficult task to receive award of a bar of chocolate/ something small at the end. How would you feel?
What is your age range?
Have you ever been diagnosed with a hormonal problem?
Socially how are you now compared to this time 1-2 years ago?
Do you currently/ have you ever abused alcohol, drugs, medication, etc?
How would you best describe your moods on a daily basis?
Is there a family history of depression/ other mental illness?
Have you been under any stress recently or for a period of time?
How is your appetite?
Please rate yourself on this scale of how depressed you feel you are.
Have you ever been diagnosed with another mental health condition? Please check which one applies
Do you go through periods of mania - high excitement, feeling elated, behaving in dangerous/unusual ways you normally wouldn't? (lasts for up to several weeks-months at a time)
How do you feel about life?
Are you on any type of mood elevating medication for reasons other than a mood disorder?
Have you been diagnosed with any other medical condition that could cause the symptoms you are having?
Which colours best describe your moods? (not your favourites)
Green, pink, peach, gold, soft red
Blue, teal, white, silver, black
Red, blue, purple, grey
Do you ever feel stuck in a rut/ hopeless or worthless
Please rate your concern level for depression