Beck Depression Inventory

* Indicates required field

Client's Full Name *

First

Last

Client's Date of Birth (MM/DD/YYYY) *

This questionnaire consists of 21 groups of statements. Please carefully read each group of statements and, from the drop down menu, pick the one statement in each group that best describes the way you've been feeling in the last two weeks, including today.

Sadness *

Loss of Interest *

Pessimism *

Indecisiveness *

Past Failure *

Worthlessness *

Loss of Pleasure *

Loss of Energy *

Guilty Feelings *

Changes in Sleeping Pattern *

Punishment Feelings *

Irritability *

Self-Dislike *

Changes in Appetite *

Self-Criticalness *

Concentration Difficulty *

Suicidal Thoughts or Wishes *

Tiredness or Fatigue *

Crying *

Loss of Interest in Sex *

Agitation *

Name of Clinician *

Date of Assessment *

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Beck Depression Inventory

Beck Depression Inventory