A1.Have there EVER been times in your life when you felt sad or depressed for TWO WEEKS or MORE in a row?yesno
A2.Have there EVER been times in your life when you lost interest in most things like your work or activities that usually give you pleasure, for TWO WEEKS or MORE in a row?yesno
IFNO to BOTH these questions then please go to next section.
IF YES
For the next few questions, please think of the MOST RECENT TWO-WEEK episode during your life when these feelings of sadness, depression or loss of interest were worst.
A3.During that time did the feelings of being sad or depressed, or loss of interest usually last all day long, most of the day, about half the day or less than this? (please circle)
All day longMost of the dayAbout half the dayLess than half the day
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A4.During those two weeks, did you feel this wayevery day, almost every day or less often?
Every dayAlmost every dayLess often
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A5.During those two or more weeks did you:-
(Please circle)
a.gain or lose weight withouttrying?yesno
b.havemore trouble falling asleep than you usually do, or sleeping too much?yesno
c.feel tired out or low on energy all the time?yesno
d.feel unable to sit still and had to keep moving or the opposite - feeling slowed down and having trouble moving?yesno
e.feel guilty or ashamed of yourself for something you did or thought?yesno
f.feel inferior or even worthless?yesno
g.lose confidence in yourself?yesno
h.have trouble concentrating, thinking, or making decisions?yesno
i.think a lot about death, either your own, someone else's, or suicide?yesno
A6.People differ in how much their day to day activities are affected when they feel sad or depressed or lose interest in the things that they normally enjoy. The next few questions are about how you were affected by these feelings and experiences during this same time that you have just described.
a.During those two weeks (or more), how much did these feelings and experiencesinterfere with your life (so much that it kept you from working, including such things as housework, children, and other activities or from seeing friends or relatives)?(Please circle)
OftenSometimesRarelyNever
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b.During this time did you tell a doctor about these feelings or take any medication?
(Please circle)
yesno
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c.During this time did you seek help from anyone else, like a minister, or a friend, or did anyone suggest that you seek help?yesno
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A7a.About when did this MOST RECENT TIME in your lifestart when you felt sad, depressed or had lost interest in things? (Please circle ONE month, if possible, and complete year)
JanFebMarAprMayJuneJulyAugSeptOctNovDec 19......(show year)
b.Is it still going on?yesno
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IF NO
c.About when did this MOST RECENT TIME end?(Again, please circle ONE month, if possible, and complete year)
JanFebMarAprMayJuneJulyAugSeptOctNovDec 19......(show year)
A8.Can you remember your exact age theFIRST time that you experiencedtwo weeks or more when you felt sad, depressed or lost interest in the things that you normally enjoyed?
(Please complete)
1Yes, I can remember, I was ........................years of age.
2No, I cannot remember exactly, but the earliest age that I can clearly remember having an episode like this and lasting for two weeks or more was when I was about ........................years of age.
A9.In your lifetime, about how many of these episodes have you had that lasted for two weeks or more when you felt sad, depressed or lost interest in things (and also had some of the other problems mentioned above)?(Please circle)
Number of episodes:1 One4 Four
2 Two5 At least .......... episodes
3 Three6 Too many to remember
A10.On average how long would you say these episodes last?
1 More than 2 weeks, but less than a month
2 One to six months
3 Six months to a year
4 Usually more than a year