This questionnaire aims to help you reflect on your mental health and identify potential signs of depression and is only a guide. Answer the following questions honestly, considering how you’ve felt over the past two weeks.

Section 1: Emotional Well-being

  1. How often have you felt sad, empty, or hopeless?
    • ( ) Not at all
    • ( ) Several days
    • ( ) More than half the days
    • ( ) Nearly every day
  2. Have you lost interest or pleasure in activities you once enjoyed?
    • ( ) Not at all
    • ( ) Several days
    • ( ) More than half the days
    • ( ) Nearly every day
  3. How frequently do you feel anxious or overwhelmed?
    • ( ) Not at all
    • ( ) Several days
    • ( ) More than half the days
    • ( ) Nearly every day
  4. Do you often find yourself feeling irritable or frustrated?
    • ( ) Not at all
    • ( ) Several days
    • ( ) More than half the days
    • ( ) Nearly every day

Section 2: Physical Well-being

  1. Have you experienced changes in your appetite or weight?
    • ( ) No changes
    • ( ) Slight changes
    • ( ) Moderate changes
    • ( ) Severe changes
  2. How often do you feel fatigued or have low energy, even after rest?
    • ( ) Not at all
    • ( ) Several days
    • ( ) More than half the days
    • ( ) Nearly every day
  3. Are you having trouble sleeping (insomnia) or sleeping too much?
    • ( ) No issues
    • ( ) Occasional issues
    • ( ) Frequent issues
    • ( ) Severe issues

Section 3: Cognitive Functioning

  1. How often do you have difficulty concentrating, making decisions, or remembering things?
    • ( ) Not at all
    • ( ) Several days
    • ( ) More than half the days
    • ( ) Nearly every day
  2. Have you had thoughts of self-harm or suicide?
    • ( ) Never
    • ( ) Rarely
    • ( ) Sometimes
    • ( ) Often

Section 4: Social Interaction

  1. How often do you withdraw from friends, family, or social activities?
    • ( ) Not at all
    • ( ) Several days
    • ( ) More than half the days
    • ( ) Nearly every day
  2. Do you feel isolated or disconnected from those around you?
    • ( ) Not at all
    • ( ) Several days
    • ( ) More than half the days
    • ( ) Nearly every day

Section 5: Reflection and Action

  1. Have you noticed a decline in your work or academic performance?
    • ( ) No decline
    • ( ) Slight decline
    • ( ) Moderate decline
    • ( ) Severe decline
  2. Do you often feel that you can’t cope with daily life?
    • ( ) Not at all
    • ( ) Sometimes
    • ( ) Often
    • ( ) Always
  3. Are you aware of any family history of depression or mental health issues?
    • ( ) No
    • ( ) Yes, but not severe
    • ( ) Yes, moderate
    • ( ) Yes, severe

Scoring and Considerations:

  • If you answered “More than half the days” or “Nearly every day” to several questions, particularly those related to emotional well-being, cognitive functioning, and thoughts of self-harm, it may be time to seek help.
  • Consider reaching out to a mental health professional, a trusted friend, or a family member to discuss your feelings and experiences.
  • Remember that seeking help is a sign of strength, and you don’t have to navigate this alone.

Conclusion: Your mental health is important. Please use this questionnaire as a starting point to evaluate your feelings and consider the next steps. This questionnaire does NOT provide a diagnosis.