Depression (Older Adults)

Depression Screening (Age 65 and above)


Choose the best answer for how you felt over the past week.

Depression Screening (Age 65 and above)

Question 1 of 15.

Are you basically satisfied with your life?

Yes
No
Question 2 of 15.

Have you dropped many activities and interests?

Yes
No
Question 3 of 15.

Do you feel that your life is empty?

Yes
No
Question 4 of 15.

Do you often get bored?

Yes
No
Question 5 of 15.

Are you in good spirits most of the time?

Yes
No
Question 6 of 15.

Are you afraid that something bad is going to happen to you?

Yes
No
Question 7 of 15.

Do you feel happy most of the time?

Yes
No
Question 8 of 15.

Do you often feel helpless?

Yes
No
Question 9 of 15.

Do you prefer to stay at home, rather than going out and doing new things?

Yes
No
Question 10 of 15.

Do you feel you have more problems with memory than most people?

Yes
No
Question 11 of 15.

Do you think it is wonderful to be alive?

Yes
No
Question 12 of 15.

Do you feel pretty worthless the way you are now?

Yes
No
Question 13 of 15.

Do you feel full of energy?

Yes
No
Question 14 of 15.

Do you feel that your situation is hopeless?

Yes
No
Question 15 of 15.

Do you think that most people are better off than you are?

Yes
No

Next question 1 of 15

All 15 questions completed!


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