Mental Health Questionnaire

Take the DiscoveryMD questionnaire about your mental health.

When you submit the questionnaire below, we will use it as a quick reference for when we contact you about further assessments and, if necessary, the right treatment for you.

Not at all

Several days

More than half the days

Nearly every day

1. Little interest or pleasure in doing things.Not at allSeveral daysMore than half the daysNearly every day

2. Feeling down, depressed, or hopelessNot at allSeveral daysMore than half the daysNearly every day

3. Trouble falling/staying asleep, sleep too much.Not at allSeveral daysMore than half the daysNearly every day

4. Feeling tired or having little energy.Not at allSeveral daysMore than half the daysNearly every day

5. Poor appetite or overeating.Not at allSeveral daysMore than half the daysNearly every day

6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down.Not at allSeveral daysMore than half the daysNearly every day

7. Trouble concentrating on things, such as reading the newspaper or watching television.Not at allSeveral daysMore than half the daysNearly every day

8. Moving or speaking or slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual.Not at allSeveral daysMore than half the daysNearly every day

9. Thoughts that you would be better off dead or of hurting yourself in some way.Not at allSeveral daysMore than half the daysNearly every day

How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?Not difficult at allSomewhat difficultVery difficultExtremely difficult

In the past two years have you felt depressed or sad most days, even if you felt okay sometimes?YesNo

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