Forms

1. I have been able to laugh and see the funny side of things: *
As much as I always couldNot quite as much nowDefinitely not so much nowNot at all

2. I have looked forward with enjoyment to things: *
As much as I ever didRather less than I used toDefinitely less than I used toHardly at all

3. I have blamed myself unnecessarily when things went wrong: *
Yes, most of the timeYes, some of the timeNot very oftenNo, never

4. I have been anxious or worried for no good reason: *
No, not at allHardly everYes, sometimesYes, very often

5. I have felt scared or panicky for no very good reason: *
Yes, quite a lotYes, sometimesNo, not muchNo, not at all

6. Things have been getting on top of me: *
Yes, most of the time I haven't been able to cope at allYes, sometimes I haven't been coping as well as usualNo, most of the time I have coped quite wellNo, I have been coping as well as ever

7. I have been so unhappy that I have had difficulty sleeping: *
Yes, most of the timeYes, sometimesNot very oftenNo, not at all

8. I have felt sad or miserable: *
Yes, most of the timeYes, quite oftenNot very oftenNo, not at all

9. I have been so unhappy that I have been crying: *
Yes, most of the timeYes, quite oftenOnly occasionallyNo, never

10. The thought of harming myself has occurred to me: *
Yes, quite oftenSometimesHardly everNever

NOTE: If you have had ANY thoughts of harming yourself, please tell your GP or your midwife today.