Step 1 of 4 25% Please select all the items that apply.Depression 1 1. I feel sad, empty and/or hopeless most of the day, nearly every day. depression 2 2. Those around me tell me I appear sad, down or depressed. depression 3 3. I have a diminished interest or pleasure in all, or almost all, activities. depression 4 4. I have experienced significant weight loss when not dieting or weight gain. depression 5 5. I cannot sleep or sleep more than 12 hours nearly every day. depression 6 6. I feel agitated, restless or feel like I’m being slowed down. depression 7 7. I feel fatigue or loss of energy nearly every day. depression 8 8. I experience feelings of worthlessness or excessive or inappropriate guilt nearly every day. depression 9 9. I have a diminished ability to think or concentrate or feel indecisiveness nearly every day. depression 10 10. I have recurrent thoughts of death, suicidal thoughts or find myself planning to commit suicide. Select all that apply.Anxiety 1 1. I feel anxious for more days than not. Anxiety 2 2. I find it difficult to control the worry. Anxiety 3 3. I feel restless, keyed up or on edge. Anxiety 4 4. I am easily fatigued. Anxiety 5 5. I have difficulty concentrating or mind going blank. Anxiety 6 6. I am often irritable. Anxiety 8 7. I feel muscle tension. Anxiety 8 8. I have difficulty falling or staying asleep or have unsatisfying sleep. Select all that apply.RELIGIOUS OR SPIRITUAL PROBLEM 1 1. I feel distressed about the loss of my faith. RELIGIOUS OR SPIRITUAL PROBLEM 2 2. I am questioning the truth about my faith. RELIGIOUS OR SPIRITUAL PROBLEM 3 3. I’m angry at God. RELIGIOUS OR SPIRITUAL PROBLEM 4 4. I have problems associated with conversion to a new faith or my long-time faith. RELIGIOUS OR SPIRITUAL PROBLEM 5 5. I am questioning my spiritual values. RELIGIOUS OR SPIRITUAL PROBLEM 6 6. I don’t know: “Who am I?” HiddenDepression ScoreHiddenAnxiety ScoreHiddenReligious or Spiritual Problems ScoreName(Required) First Name Email(Required) Δ
