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Am I a Good Candidate?

This easy to use questionnaire is a self-administered version of the PRIME-MD diagnostic instrument for common psychiatric disorders. It is used to monitor the severity of depression and response to treatment.

Not at all

Several Days

More than half the days

Nearly every day

Little interest or pleasure in doing things

0

1

2

3

Feeling down, depreseed, or hopeless

0

1

2

3

Trouble falling or staying asleep, or sleeping too much

0

1

2

3

Feeling tired or having little energy

0

1

2

3

Poor appetite or overeating

0

1

2

3

Feel bad about yourself – or that you are a failure or that you have let yourself of your family down

0

1

2

3

Trouble concentrating on things, such as reading the newspaper or watching television

0

1

2

3

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

0

1

2

3

Thoughts that you would be better off dead or of hurting yourself in some way

0

1

2

3

Not difficult at all

Somewhat difficult

Very difficult

Extremely difficult

If you checked off on any problem on this questionnaire so far, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?

Scoring: Count the number of boxes checked in a column.
Multiply that number by value indicated below, then add the subtotal to produce a a total score. The possible range is 0-27.