BDI- Instructions: This questionnaire consists of 21 groups of statements. Please read each group of statements carefully. And then pick out the one statement in each group that best describes the way you have been feeling during the past two weeks, including toda). Circle the number beside the statement you have picked. if several statements in the group seem to apply equally well, circle the highest number for that group. Be sure that you do not choose more than one statement for any group, including Item 16 (Changes in Sleeping Patten) or item 18 (Changes in Appetite). 1. Sadness \ do not feel sad. | feel sad much of the time. [am sad all the time. am so sad or unhappy that | can't stand it. ° yw 2. Pessimism 0. 1am not discouraged about my future. 1. I feel more discouraged about my future than I used to. 2. Ido not expect things to work out for me. 3. | feel my future is hopeless and will only get worse. 3. Past Failure 0. I do not feel like a failure. ._ I have failed more than | should have. 2. As I look back, I see a lot of failures. 3. feel | am a total failure as a person. 4. Loss of Pleasure ©. | get as much pleasure as | ever did from the things | enjoy. 1. I don't enjoy things as much as | used to. 2. I get very little pleasure from the things | used to enjoy. 3. I can't get any pleasure from the things | used to enjoy. 1. [feel guilty over many things | have done or should have done. 2. [feel quite guilty most of tre time. 3. I feel guilty all of the time. 6. Punishment Feelings 0. I don't feel | am being punished. 1. Heel | may be punished. 2. Lexpect to be punished. 3. feel | am being punished. 7. SelfDislike 0. | feel the same about myself as ever. 1. Ihave lost confidence in myself. 2. lam disappointed in myselt 3. I dislike myse8. Self-Criticalness. 0. Idon't criticize or blame myself more than usual 1. lam more critical of myself than | used to be. | criticize mysel- for all of my faults. | blame myself sor everything bad that happens 9. Suicidal Thoughts or Wishes 0. I don't have any thoughts of 1. Ihave thoughts of ki carry them out. 2. Iwould like to kill myself. 3. I would kill myself if Ihad the chance. ing myself. ing myself, but | would not 10. Crying ©. don't cry anymore than | used to. 1. lery more than | used to. 2. lcry over every little thing. 3. | feel like crying, but | can't. 11. Agitation ©. lamno more restless or wound up than usual. 1. I feel more restless or wound up than usual. 2. 1am so restless or agitated, 3. 1am so restless or agitated that | have tc keep moving or doing something. 's hard to stay still. 12. Loss of Interest | have not lost interest in other people or activities. 1. Lam|ess interested in other people or things than before. 2. [have lost most of my interest in other people or things: 3. It's hard to get interested anything. 13, Indecisiveness 0. Imake decisions about as well as ever. 1. [find it more difficult to make decisions than usual. Ihave much greater difficulty in making decisions than | used to. 3. [have trouble making any decisions. 14. Worthlessness 0. Ido not feel | am worthless. 1. don't consider myself as worthwhile and useful as | used to. 2. I feel more worthless as compared to others. 3. [feel utterly worthless. 15. Loss of Energy ©. Ihave as much energy as 2ver 1. Ihave less energy than | used to have. 2. Idon't have enough energy to do very much. 3. Idon't have enough energy to do anything.16. Changes in Sleeping Pattern 0. Ihave not experienced any change in my sleeping. 13 I sleep somewhat more than usual. tb I sleep somewhat less than usual. 2a I sleep a lot more than usual. 2b I sleep a lot less than usual. 32 | sleep most of the day. 3b | wake up +2 hours early and can't get back to. sleep. ©. Lam not more irritable than usual. 1. lam more irritable than usual. 2. lam much more irritable than usual. 3. lam irritable all the time. 18. Changes in Appetite 0. Ihave not experienced any change in my appetite. ta My appetite is somewhat less than usual. 1b My appetite is somewhat greater than usual 2a My appetite is much less than before. 2b My appetite is much greater than usual 3a | have no appetite at a 3b I crave food all the time. 19. Concentration Difficulty 0. | can concentrate as well as ever. 4. | can't concentrate as well as usual. 2. It's hard to keep my mind on anything for very long. 3. I find | can't concentrate on anything. 20. Tiredness or Fatigue 0. Lam no more tired or fatigued than usual. 1. I get more tired or fatigued more easily than usual. 2. Lam too tired or fatigued to do a lot of the things | used to do. 3. 1am too tired or fatigued to do most of the things | used to do. 21. Loss of Interest in Sex Ihave not noticed any recent change in my interest in sex. 1. Lam less interested in sex than | used to be. 2. lam much less interested in sex now. 3. Ihave lost interest in sex completely. Total Score: THE PSYCHOLOGICAL CORPORATION Harcourt Brace & Company Copyright 1996, by Aaron T. Beck. Allrights reserved.