Introductory Questions:

None of the time

A little of the time

Some of the time

Most of the time

All of the time

In the past 4 weeks, about how often did you have a lot of energy?

In the past 4 weeks, about how often did you feel happy and relaxed?

K10 Questionnaire:

None of the time

A little of the time

Some of the time

Most of the time

All of the time

In the past 4 weeks, about how often did you feel tired out for no good reason?

In the past 4 weeks, about how often did you feel nervous?  

In the past 4 weeks, about how often did you feel so nervous that nothing could calm you down?

In the past 4 weeks, about how often did you feel hopeless? 

In the past 4 weeks, about how often did you feel restless or fidgety?  

In the past 4 weeks, about how often did you feel so restless you could not sit still?  

In the past 4 weeks, about how often did you feel depressed?  

In the past 4 weeks, about how often did you feel that everything was an effort? 

In the past 4 weeks, about how often did you feel so sad that nothing could cheer you up? 

In the past 4 weeks, about how often did you feel worthless?  

For a general scoring guide, calculate your answers to the above 10 questions only and see what your score means.