DEPRESSION SCALE

Name: Age:

Sex: Marital status:

Educational Qualification: Occupation:

Detecting depression in students / general publics

Serial Questionnaires Yes
No. No
Sometimes Almost Always

1. Are you sleeping lately nowadays?

2. Do you feel that you are exhausted?

Do you feel that you are deceived
3.
yourself?
Do you think that morning is the
4.
worst part of the day?
Do you feel headache or pain in your
5.
shoulder?
Do you wake up very early in the
6.
morning?
7. Is your hunger is decreasing?

8. Do you feel asthma with chest pain?

9. Do you feel pain in your throat?

Do you think that your life is

10.
worthless?
Are you annoyed for your own
11.
work?
Is your interest in work is
12.
decreasing?
13. Do you think too much nowadays?

Are you anxious about your health?

14.
Do you have difficulty in fallen
15. asleep nowadays?

*(Ref. Based on a test method devised by Prof. S. Tsutsui, Toho University, Japan & Ref. British Medical Journal
Vol. 297, Oct 8, 1988, P-897)