How has your mood been?

A short, confidential check-in — about two minutes. Your answers go straight to Klara. No score or summary is shown here.

Leave this field blank:

Name*

Please add your name so Klara knows whose answers these are.

Over the last 2 weeks, how often have you been bothered by the following?

1. Little interest or pleasure in doing things

Not at all Several days More than half the days Nearly every day

2. Feeling down, depressed, or hopeless

Not at all Several days More than half the days Nearly every day

3. Trouble falling or staying asleep, or sleeping too much

Not at all Several days More than half the days Nearly every day

4. Feeling tired or having little energy

Not at all Several days More than half the days Nearly every day

5. Poor appetite or overeating

Not at all Several days More than half the days Nearly every day

6. Feeling bad about yourself — or that you are a failure, or have let yourself or your family down

Not at all Several days More than half the days Nearly every day

7. Trouble concentrating on things, such as reading or watching television

Not at all Several days More than half the days Nearly every day

8. Moving or speaking so slowly that other people could have noticed, or the opposite — being fidgety or restless

Not at all Several days More than half the days Nearly every day

9. Thoughts that you would be better off dead, or of hurting yourself in some way

Not at all Several days More than half the days Nearly every day

Thank you for sharing that. If you'd like to talk to someone right now, support is here:

Pieta House (suicide and self-harm support): 1800 247 247 — free, 24/7

Samaritans: 116 123 — free, 24/7

If you're in immediate danger, call 999 or 112.

You're welcome to keep going with the rest of this, or stop here — either is okay. Klara will see this and follow up with you.

If you checked off any problems, how difficult have they made it for you to do your work, take care of things at home, or get along with other people?

Not difficult at all Somewhat difficult Very difficult Extremely difficult

Please fill in your name and answer all 9 questions before sending.

Sent

Klara has your answers and will follow up with you.

This check-in uses the PHQ-9, developed by Robert L. Spitzer, Janet B. W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–613. Public domain — no permission required to reproduce, translate, display, or distribute.

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