CHOOSE THE BEST ANSWER FOR HOW YOU FELT THIS PAST WEEK (circle one)

* 1. Are you basically satisfied with your life? yes NO

2. Have you dropped many of your activities and interests? YES no

3. Do you feel that your life is empty? YES no

4. Do you often get bored? YES no

* 5. Are you hopeful about the future? yes NO

6. Are you bothered by thoughts you can't get out of your head? YES no

* 7. Are you in good spirits most of the time? yes NO

8. Are you afraid that something bad is going to happen to you? YES no

* 9. Do you feel happy most of the time? yes NO

10. Do you often feel helpless? YES no

11. Do you often get restless and fidgety? YES no

12. Do you prefer to stay at home, rather than going out and doing new things? YES no

13. Do you frequently worry about the future? YES no

14. Do you feel you have more problems with memory than most? YES no

*15. Do you think it is wonderful to be alive now? yes NO

16. Do you often feel downhearted and blue? YES no

17. Do you feel pretty worthless the way you are now? YES no

18. Do you worry a lot about the past? YES no

*19. Do you find life very exciting? yes NO

20. Is it hard for you to get started on new projects? YES no

*21. Do you feel full of energy? yes NO

22. Do you feel that your situation is hopeless? YES no

23. Do you think that most people are better off than you are? YES no

24. Do you frequently get upset over little things? YES no

25. Do you frequently feel like crying? YES no

26. Do you have trouble concentrating? YES no

*27. Do you enjoy getting up in the morning? yes NO

28. Do you prefer to avoid social gatherings? YES no

*29. Is it easy for you to make decisions? yes NO

*30. Is your mind as clear as it used to be? yes NO

*Appropriate (nondepressed) answers = yes, all others= no or count number of CAPITALIZED (depressed) answers

Score: _____ (Number of "depressed" answers)

Norms
Normal 5 +/- 4 Mildly depressed 15 +/- 6 Very depressed 23 +/- 5

1. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression rating scale: a preliminary report. J Psych Res. 1983; 17:27.
2. Sheikh JI, Yesavage JA. Geriatric Depression Scale: recent evidence and development of a shorter version. Clin Gerontol. 1986; 5:165-172.

The Geriatric Depression Scale may be used freely for patient assessment according to the authors.