THE BURNS DEPRESSION CHECKLIST*
		Instructions:    The following is a list of symptoms that people sometimes have. Select the appropriate box that best describes how much you experienced the symptom during the past week.

		Thoughts and Feelings
	1.	Feeling sad or down in the dumps
	2.	Feeling unhappy or blue
	3.	Crying spells or tearfulness
	4.	Feeling discouraged
	5.	Feeling hopeless
	6.	Low self-esteem
	7.	Feeling worthless or inadequate
	8.	Guilt or shame
	9.	Criticizing yourself or blaming yourself
	10.	Difficulty making decisions
		Activities and Personal Relationships
	11.	Loss of interest in family, friends or colleagues
	12.	Loneliness
	13.	Spending less time with family or friends
	14.	Loss of motivation
	15.	Loss of interest in work or other activities
	16.	Avoiding work or other activities
	17.	Loss of pleasure or satisfaction in life
		Physical Symptoms
	18.	Feeling tired
	19.	Difficulty sleeping or sleeping too much
	20.	Decreased or increased appetite
	21.	Loss of interest in sex
	22.	Worrying about your health
		Suicidal Urges**
	23.	Do you have any suicidal thoughts?
	24.	Would you like to end your life?
	25.	Do you have a plan for harming yourself?
		* Copyright 1984 David M. Burns, M.D. (Revised, 1996) ** Anyone with suicidal urges should seek help from a mental health professional

Interpreting the Burns Depression Checklist:        Total Score: 0-5 6-10 11-25 26-50 51-75 76-100    Level of Depression: no depression normal but unhappy mild depression moderate depression severe depression extreme depression