Select the answer that best describes your thoughts, feelings, or experiences in your relationship.
Mark your answers based on your interactions over the past 3-4 weeks.
Make sure to answer all questions.
Do you often feel sad, empty, or hopeless?
Do you experience a loss of interest or pleasure in activities you used to enjoy?
Do you feel excessively tired or lack energy most days?
Do you struggle to concentrate or make decisions?
Do you feel worthless or excessively guilty?
Do you have significant changes in appetite or weight (either increase or decrease)?
Do you have trouble sleeping or sleep too much?
Do you feel restless or slowed down physically?
Do you have thoughts of self-harm or suicide?
Do you feel that life is overwhelming or pointless?
Your responses have been recorded.