Right now your heart is feeling very bruised.

low high

Please use the 0-100% values to indicate the pain you are feeling

0%

Now lets calibrate your answer with the following questions:

These questions relate to the way you have felt over the past 14 days.

Do you have little or no pleasure in doing things?

low high
0%

Do you feel down or hopeless?

low high
0%

Trouble with your sleep patterns? Trouble falling or staying asleep, or sleeping too much?

low high
0%

Feeling tired or having little energy?

low high
0%

Poor appetite or overeating?

low high
0%

Feeling bad about yourself having a sense you are a failure or have let your family or friends down?

low high
0%

Do you have trouble concentrating on things, such as reading or television.

low high
0%

Are you speaking so slowly that other people could have noticed, or have you been fidgety or restless?

low high
0%

Have you had dreadful thoughts such as you would be better off dead, or inflicting harm to yourself

low high
0%

Have you experineced anger – Whether controlled or expressed?

low high
0%

Have you experinced frustration?

low high
0%

Have you experinced anxiety?

low high
0%

Are you taking anything to cope with the emotional pain you are suffering?

low high
0%

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