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Teen Depression

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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1

Do you feel sad or hopeless most of the time?

Select one option that best describes your feelings.
2

On a scale of 1 to 10, how would you rate your overall happiness level?

Rate your overall happiness from 1 (very unhappy) to 10 (very happy).
3

Please describe in your own words what you think may be causing your feelings of depression.

Type your thoughts and feelings in the space provided.
4

Do you have trouble sleeping or experience changes in your sleeping patterns?

Select one option that best matches your sleeping habits.
5

Have you lost interest in activities you once enjoyed?

Choose the option that best describes your current situation.
6

How often do you feel anxious or restless during the week?

Select the frequency that closely aligns with your experiences.
7

Do you feel tired or lack energy most of the time?

Choose the option that best represents your energy levels.
8

How comfortable do you feel talking about your emotions with others?

Select the option that reflects your comfort level.
9

Have you had changes in your appetite (eating more or less than usual)?

Choose the option that best fits your eating habits.
10

Do you frequently experience feelings of loneliness or isolation?

Select one option that resonates with your social interactions.
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