Depression Assessment — Believe Iberia Counseling

FREE CONFIDENTIAL
DEPPRESSION ASSESSMENT

If you are in a state of crisis or need immediate help for any reason, please refrain from filling out this assessment and call 911. If you feel that you are a danger to yourself, please refrain from filling out this assessment and contact the National Suicide Prevention Lifeline at 1-800-273-8255.

This online Depression Assessment takes approximately five minutes and will provide general feedback when completed. Please note that this assessment is not a formal diagnostic tool and should not be interpreted as such. This assessment is free and can be taken anonymously if you choose.

If you answer “yes” to any of the questions provided, it is highly recommended that you contact Believe Iberia Counseling or another qualified healthcare provider. If you would prefer to be contacted by Believe Iberia Counseling, please leave your contact information in the space provided at the end of this assessment. Please note that by leaving your information, you consent to allow Believe Iberia Counseling to use this information to contact you. Any information provided will remain confidential. If you choose to not leave your information, Believe Iberia Counseling will not contact you.

If you answer “no” to the questions provided, you are still encouraged to reach out to Believe Iberia Counseling or another qualified healthcare provider for a detailed evaluation of your risk for Depression.

1. Have you felt extremely sad or hopeless for an extended period of time?

2. Have your eating habits and appetite changed significantly (and as a result, are you either eating much more or much less than normal)?

3. Have your sleeping patterns changed significantly (meaning you are either not sleeping much at all or are sleeping excessively)?

4. Do you often feel exhausted, or have you been struggling with extremely low energy?

5. Have you experienced mood swings, such as outbursts of anger or crying, for no apparent reason?

6. Have you missed work, school, or other responsibilities because you couldn’t get out of bed or leave the house?

7. Do you struggle or find it impossible to complete everyday tasks such as paying bills, doing laundry, going grocery shopping, or tending to your personal hygiene?

8. Do you find it difficult to concentrate, focus, or otherwise pay attention?

9. Have you lost interest in activities, issues, and/or events that have previously been important to you?

10. Do you find it difficult or impossible to experience pleasure?

11. Have you withdrawn from your family and friends?

12. Do you feel like you are a failure, or that you have let down your friends, colleagues, or family members?

13. Do you think that the world would be a better place if you weren’t around anymore?

14. Have you had thoughts of harming yourself, or have you ever made an attempt to take your own life?

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FREE CONFIDENTIAL DEPPRESSION ASSESSMENT

Believe Iberia Counseling

FREE CONFIDENTIAL
DEPPRESSION ASSESSMENT