In the past 7 days:

• 1. I have been able to laugh and see the funny side of things...

  As much as I always could Not quite so much now Definitely not so much now Not at all

• 2. I have looked forward with enjoyment to things...

  As much as I ever did Rather less than I used to Definitely less than I used to Hardly at all

• 3. I have blamed myself unnecessarily when things went wrong

  Yes, most of the time Yes, some of the time Not very often No, never

• 4. I have been anxious or worried for no good reason

  No, not at all Hardly ever Yes, sometimes Yes, very often

• 5. I have felt scared or panicky for no very good reason

  Yes, quite a lot Yes, sometimes No, not much No, not at all

• ^†6. Things have been overwhelming me

  Yes, most of the time I haven’t
  been able to cope at all Yes, sometimes I haven’t been
  coping as well as usual No, most of the time
  I have coped quite well No, I have been coping
  as well as ever

• 7. I have been so unhappy that I have had difficulty sleeping

  Yes, most of the time Yes, sometimes Not very often No, not at all

• 8. I have felt sad or miserable

  Yes, most of the time Yes, quite often Not very often No, not at all

• 9. I have been so unhappy that I have been crying

  Yes, most of the time Yes, quite often Only occasionally No, never

• 10. The thought of harming myself has occurred to me

  Yes, quite often Sometimes Hardly ever Never

  Your answers show you might be at risk for harming yourself.

  You are advised to see your doctor or a mental health professional immediately for a complete evaluation. Call 1.844.493.TALK (8255) or visit www.coloradocrisisservices.org for immediate assistance.