Home Accessing Support Questionnaires Depression and Low Mood Depression and Low Mood Contact Information First Name * Last Name * Date Of Birth * Telephone Number * Email Address * Reference 1. How is your day to day mood? Very good Good Okay Down Very Down 2. Social interactions I socialise with people in my daily life as well as I ever have done I still generally socialise but it’s harder than it used to be I am finding it hard even to be with my friends I am finding hard to socialise with anyone I am now isolating most people 3. Suicidal thoughts [and/or actions] Not at all A little Some of the time Most of the time or single attempt All of the time or two or more attempts 4. I self-harm [scratching, cutting, drugging, drinking etc.] Not at all A little of the time Some of the time Most of the time All of the time 5. Sexual interest I really enjoy sex I enjoy sex most of the time I practice sex but I don’t really enjoy it now I rather not bother to have sex I have no interest at all in sex 6. Appetite I am eating all of the time I am eating much more than I normally do I am eating more than I normally do I am eating the same as I normally I am eating less than I normally do I am eating much less than I normally do I am not eating at all 7. Weight I have gained 15lbs or more recently I have gained 10lbs or more recently I have gained 5lbs or more recently My weight is the same + or – 2lbs I have lost 5lbs or more I have lost 10lbs or more I have lost 15lbs or more 8. I remember past events and think “what if” Not at all A little Some of the time Most of the time All of the time 9. I remember things as always being bad Not at all A little Some of the time Most of the time All of the time 10. Guilt and/or low self-esteem and/or worthlessness etc.: Not at all A little Some of the time Most of the time All of the time 11. I feel very tired when I am should normally be awake and alert: Not at all A little Some of the time Most of the time All of the time 12. I find hard to concentrate: Not at all A little Some of the time Most of the time All of the time If you are a real user, leave this field blank Send Form Posted on 19 September 2020 at 7:02 pm.