WB Tracker
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Anxiety Survey
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Weekly Depression Survey
1.
Have you been feeling sad or down?
Not At All
Rare
Somewhat
Often
2.
Does the future look hopeless?
Not At All
Rare
Somewhat
Often
3.
Do you feel worthless or think of yourself as a failure?
Not At All
Rare
Somewhat
Often
4.
Do you feel inadequate or inferior to others?
Not At All
Rare
Somewhat
Often
5.
Do you get self-critical and blame yourself?
Not At All
Rare
Somewhat
Often
6.
Do you have trouble making up your mind?
Not At All
Rare
Somewhat
Often
7.
Have you been feeling resentful or angry?
Not At All
Rare
Somewhat
Often
8.
Have you lost interest in your career? Hobbies? Family? Friends?
Not At All
Rare
Somewhat
Often
9.
Do you feel overwhelmed and have to push yourself to do things?
Not At All
Rare
Somewhat
Often
10.
Do you feel unattractive?
Not At All
Rare
Somewhat
Often
11.
Have you lost your appetite? Do you overeat or binge?
Not At All
Rare
Somewhat
Often
12.
Do you find it hard to sleep well? Do you sleep too much? If you sleep well, do you still feel excessively tired?
Not At All
Rare
Somewhat
Often
13.
Have you lost your sexual desire?
Not At All
Rare
Somewhat
Often
14.
Do you worry about your health?
Not At All
Rare
Somewhat
Often
15.
**Do you have thoughts that life is not worth living? That you would be better off dead?
Not At All
Rare
Somewhat
Often