BDI-II Name First Last Date MM slash DD slash YYYY Sadness 0 I do not feel sad 1 I feel sad much of the time 2 I am sad all of the time 3 I am so sad or unhappy that I can’t stand it Pessimism 0 I am not discouraged about my future 1 I feel more discouraged about my future than I used to be 2 I do not expect things to work out for me 3 I feel my future is hopeless and will only get worse Past Failire 0 I do not feel like a failure 1 I have failed more than I should have 2 As I look back, I see a lot of failures 3 I feel I am a total failure as a person Loss of Pleasure 0 I get as much pleasure as I ever did from things I enjoy 1 I don’t enjoy things as much as I used to 2 I get very little pleasure from the things I used to enjoy 3 I can’t get any pleasure from the things I used to enjoy Guilty Feelings 0 I don’t feel particularly guilty 1 I feel guilty over many things I have done or should have done 2 I feel quite guilty most of the time 3 I feel guilty all of the time Punishment Feelings 0 I don’t feel I am being punished 1 I feel I may be punished 2 I expect to be punished 3 I feel I am being punished Self-Dislike 0 I feel the same about myself as ever 1 I have lost confidence in myself 2 I am disappointed in myself 3 I dislike myself Self-Criticism 0 I don’t criticize or blame myself more than usual 1 I am more critical of myself than I used to be 2 I criticize myself for all my faults 3 I blame myself for everything bad that happens Suicidal Thoughts or Wishes 0 I don’t have any thoughts of killing myself 1 I have thoughts of killing myself, but I would not carry them out 2 I would like to kill myself 3 I would kill myself if I had the chance Crying 0 I don’t cry more than I used to 1 I cry more now than I used to 2 I cry over every little thing 3 I feel like crying, but I can’t Agitation 0 I am no more restless or wound up than usual 1 I feel more restless or wound up than usual 2 I am so restless or agitated that it’s hard to stay still 3 I am so restless or agitated that I have to keep moving or doing something Loss of Interest 0 I have not lost interest in other people 1 I am less interested in other people than before 2 I have lost most of my interest in other people or things 3 it’s hard to get interested in anything Indecisiveness 0 I make decisions about as well as ever 1 I find it more difficult to make decisions than usual 2 I have much greater difficulty in making decisions than I used to 3 I have trouble making any decisions Worthlessnesss 0 I do not feel I am worthless 1 I don’t consider myself as worthwhile and useful as I used to 2 I feel more worthless as compared to other people 3 I feel utterly worthless Loss of Energy 0 I have as much energy as ever 1 I have less energy than I used to have 2 I don’t have enough energy to do very much 3 I don’t have enough energy to do anything Changes in Sleeping Pattern I have not experienced any change in my sleeping pattern My sleeping patterns have changed Changes in Sleep Patterns 1a I sleep somewhat more than usual 1b I sleep somewhat less than usual 2a I sleep a lot more than usual 2b I sleep a lot less than usual 3a I sleep most of the day 3b I wake up 1-2 hours early and can't go back to sleep Irritability 0 I am no more irritable than usual 1 I am more irritable than usual 2 I am much more irritable than usual 3 I am irritable all the time Changes in Appetite I have not experienced any changes in appetite I have experienced changes in my appetite Changes in Appetite 1a My appetite is somewhat less than usual 1b My appetite is somewhat greater than usual 2a My appetite is much less than before 2b My appetite is much greater than usual 3a I have no appetite at all 3b I crave food all the time Concentration Difficulty 0 I can concentrate as well as ever 1 I can't concentrate as well as usual 2 It's hard to keep my mind on anything for very long 3 I find I can't concentrate on anything Tiredness or Fatigue 0 I am no more tired or fatigued than usual 1 I get more tired or fatigued than usual 2 I am too tired or fatigued to do a lot of the things I used to do 3 I am too tired or fatigued to do most of the things I used to do Loss of Interest in Sex 0 I have not noticed any recent changes in my interest in sex 1 I am less interested in sex than I used to be 2 I am much less interested in sex now 3 I have lost interest in sex completely CAPTCHA
