Burns Depression Checklist
Instructions: Put a check (by clicking or tapping) to indicate how much you have experienced each symptom during the past week, including today. Please answer all 25 items.
Thoughts and Feelings
Not At All
Somewhat
Moderately
A Lot
Extremely
1. Feeling sad or down in the dumps
Not At All
Somewhat
Moderately
A Lot
Extremely
2. Feeling unhappy or blue
Not At All
Somewhat
Moderately
A Lot
Extremely
3. Crying spells or tearfulness
Not At All
Somewhat
Moderately
A Lot
Extremely
4. Feeling discouraged
Not At All
Somewhat
Moderately
A Lot
Extremely
5. Feeling hopeless
Not At All
Somewhat
Moderately
A Lot
Extremely
6. Low self-esteem
Not At All
Somewhat
Moderately
A Lot
Extremely
7. Feeling worthless or inadequate
Not At All
Somewhat
Moderately
A Lot
Extremely
8. Guilt or shame
Not At All
Somewhat
Moderately
A Lot
Extremely
9. Criticizing yourself or blaming yourself
Not At All
Somewhat
Moderately
A Lot
Extremely
10. Difficulty making decisions
Not At All
Somewhat
Moderately
A Lot
Extremely
Activities and Personal Relationships
Not At All
Somewhat
Moderately
A Lot
Extremely
11. Loss of interest in family, friends or colleagues
Not At All
Somewhat
Moderately
A Lot
Extremely
12. Loneliness
Not At All
Somewhat
Moderately
A Lot
Extremely
13. Spending less time with family or friends
Not At All
Somewhat
Moderately
A Lot
Extremely
14. Loss of motivation
Not At All
Somewhat
Moderately
A Lot
Extremely
15. Loss of interest in work or other activities
Not At All
Somewhat
Moderately
A Lot
Extremely
16. Avoiding work or other activities
Not At All
Somewhat
Moderately
A Lot
Extremely
17. Loss of pleasure or satisfaction in life
Not At All
Somewhat
Moderately
A Lot
Extremely
Physical Symptoms
Not At All
Somewhat
Moderately
A Lot
Extremely
18. Feeling tired
Not At All
Somewhat
Moderately
A Lot
Extremely
19. Difficulty sleeping or sleeping too much
Not At All
Somewhat
Moderately
A Lot
Extremely
20. Decreased or increased appetite
Not At All
Somewhat
Moderately
A Lot
Extremely
21. Loss of interest in sex
Not At All
Somewhat
Moderately
A Lot
Extremely
22. Worrying about your health
Not At All
Somewhat
Moderately
A Lot
Extremely
Suicidal Urges
Not At All
Somewhat
Moderately
A Lot
Extremely
23. Do you have any suicidal thoughts?
Not At All
Somewhat
Moderately
A Lot
Extremely
24. Would you like to end your life?
Not At All
Somewhat
Moderately
A Lot
Extremely
25. Do you have a plan for harming yourself?
Not At All
Somewhat
Moderately
A Lot
Extremely
Results
If you treat your depression you will feel better. I promise. There is hope.
(In a clinical study the book relieved the symptoms of depression as effectively as medication.) (I'm not getting paid for the links.)
Score
Level of Depression
0-5 No Depression
6-10 Normal but unhappy
11-25 Mild depression
26-50 Moderate depression
51-75 Severe depression
76-100 Extreme depression