I do not have any real problems with falling asleep or staying asleep

I occasionally have trouble falling asleep or staying asleep

I have been sleeping somewhat more than usual

I have trouble falling asleep or staying asleep about three times a week

I sleep more than 12 hours in a 24-hour period, including naps.

I generally do not feel sad or irritable

I feel sad or irritated less than half the time

I feel sad or irritated more than half the time

I feel sad, irritated, or angry nearly all of the time

I have not noticed any changes in my weight or appetite

I eat somewhat less often or lesser amounts of food than usual and have lost some weight lately without intending to do so

I feel a need to eat more frequently than usual and have gained a little weight without intending to do so.

I eat much less than usual and only with personal effort, or I have lost 4 pounds or more over the past months without intending to do so.

I regularly eat more often and/or greater amounts of food than usual, or I have gained 4 pounds or more over the past months without intending to do so.

I rarely eat, and only with extreme personal effort or when others persuade me to eat, or I have lost 8 pounds or more over the past month without intending to do so.

I feel driven to overeat both at mealtime and between meals, or I have gained 8 pounds or more over the past month without intending to do so.

There is no change in my usual capacity to concentrate or make decisions

I occasionally feel indecisive or find that my attention wanders

Most of the time, I struggle to focus my attention or to make decisions

I cannot concentrate well enough to read or cannot make even minor decisions

I see myself as equally worthwhile and deserving as other people

I am more self-blaming than usual

I largely believe that I cause problems for others

I think almost constantly about major and minor defects in myself

I do not think of suicide or death

I feel that life is empty or wonder if it’s worth living

I think of suicide or death several times a week for several minutes

I think of suicide or death several times a day in some detail, or I have made specific plans for suicide or have actually tried to take my life

There is no change from usual in how interested I am in other people or activities

I notice that I am less interested in people or activities

I find I have interest in only one or two of my formerly pursued activities

I have virtually no interest in formerly pursued activities

There is no change in my usual level of energy

I get tired more easily than usual

I have to make a big effort to start or finish my usual daily activities (for example, shopping, homework, cooking, or going to work)

I really cannot carry out most of my usual daily activities because I just don’t have the energy

I think, speak, and move at my usual rate of speed

I find that my thinking is slowed down or my voice sounds dull or flat

It takes me several seconds to respond to most questions, and I’m sure my thinking is slowed

I am often unable to respond to questions without extreme effort

I do not feel restless

I’m often fidgety, wringing my hands or needing to shift how I am sitting

I have impulses to move about and am quite restless

At times, I am unable to stay seated and need to pace around