Beck Depression Inventory
Instructions: This questionnaire consists of 21 groups of statements. Please read each group of statements carefully and then pick out the one statement in each group that best describes the way you have been feeling for the past two weeks including today. If several statements in the group seem to apply equally well, select the highest number for the group. You are encouraged to complete this form every two months and talk about any concerns at your next session. 

Please provide the same email address that you use to communicate with the office.
Sign in to Google to save your progress. Learn more
Email *
Client Name *
1. Sadness
Your Answer
I do not feel sad.
I feel sad much of the time.
I am sad all the time.
I am so sad or unhappy that I can't stand it.
Clear selection
2. Pessimism
Your Answer
I am not discouraged about my future.
I feel more discouraged about my future than I used to.
I do not expect things to work out for me.
I feel my future is hopeless and will only get worse.
Clear selection
3. Past Failure
Your Answer
I do not feel like a failure.
I have failed more than I should have.
As I look back, I see a lot of failures.
I feel I am a total failure as a person.
Clear selection
4. Loss of Pleasure
Your Answer
I get as much pleasure as I ever did from the things I enjoy.
I don't enjoy things as much as I used to.
I get very little pleasure from the things I used to enjoy.
I can't get any pleasure from the things I used to enjoy.
Clear selection
5. Guilty Feelings
Your Answer
I don't feel particularly guilty.
I feel guilty over many things I have done or should have done.
I feel quite guilty most of the time.
I feel guilty all of the time.
Clear selection
6. Punishment Feelings
Your Answer
I don't feel I am being punished.
I feel I may be punished.
I expect to be punished.
I feel I am being punished.
Clear selection
7. Self-Dislike
Your Answer
I feel the same about myself as ever.
I have lost confidence in myself.
I am disappointed in myself.
I dislike myself.
Clear selection
8. Self-Criticalness
Your Answer
I don't criticize or blame myself more than usual.
I am more critical of myself than I used to be.
I criticize myself for all of my faults.
I blame myself for everything bad that happens.
Clear selection
9. Suicidal Thoughts or Wishes
Your Answer
I don't have any thoughts of killing myself.
I have thoughts of killing myself, but I would not carry them out.
I would like to kill myself.
I would kill myself if I had the chance.
Clear selection
10. Crying
Your Answer
I don't cry anymore than I used to.
I cry more than I used to.
I cry over every little thing.
I feel like crying, but I can't.
Clear selection
11. Agitation
Your Answer
I am no more restless or wound up than usual.
I feel more restless or wound up than usual.
I am so restless or agitated, it's hard to stay still.
I am so restless or agitated that I have to keep moving or doing something.
Clear selection
12. Loss of Interest
Your Answer
I have not lost interest in other people or activities.
I am less interested in other people or things than before.
I have lost most of my interest in other people or things.
It's hard to get interested in anything.
Clear selection
13. Indecisiveness
Your Answer
I make decisions about as well as ever.
I find it more difficult to make decisions than usual.
I have much greater difficulty in making decisions than I used to.
I have trouble making any decisions.
Clear selection
14. Worthlessness
Your Answer
I do not feel I am worthless.
I don't consider myself as worthwhile and useful as I used to.
I feel more worthless as compared to others.
I feel utterly worthless.
Clear selection
15. Loss of Energy
Your Answer
I have as much energy as ever.
I have less energy than I used to have.
I don't have enough energy to do very much.
I don't have enough energy to do anything.
Clear selection
16. Changes in Sleeping Pattern
Your Answer
I have not experienced any change in my sleeping.
I sleep somewhat more than usual.
I sleep somewhat less than usual.
I sleep a lot more than usual.
I sleep a lot less than usual.
I sleep most of the day.
I wake up 1-2 hours early and can't get back to sleep.
Clear selection
17. Irritability
Your Answer
I am not more irritable than usual.
I am more irritable than usual.
I am much more irritable than usual.
I am irritable all the time.
Clear selection
18. Changes in Appetite
Your Answer
I have not experienced any change in my appetite.
My appetite is somewhat less than usual.
My appetite is somewhat greater than usual.
My appetite is much less than before.
My appetite is much greater than usual.
I have no appetite at all.
I crave food all the time.
Clear selection
19. Concentration Difficulty
Your Answer
I can concentrate as well as ever.
I can't concentrate as well as usual.
It's hard to keep my mind on anything for very long.
I find I can't concentrate on anything.
Clear selection
20. Tiredness or Fatigue
Your Answer
I am no more tired or fatigued than usual.
I get more tired or fatigued more easily than usual.
I am too tired or fatigued to do a lot of the things I used to do.
I am too tired or fatigued to do most of the things I used to do.
Clear selection
21. Loss of Interest in Sex
Your Answer
I have not noticed any recent change in my interest in sex.
I am less interested in sex than I used to be.
I am much less interested in sex now.
I have lost interest in sex completely.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Melissa R. Tower, MA, LLP. Report Abuse