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Beck Depression Inventory Questionnaire Form Template

Effortlessly Assess Depression with Our Questionnaire Template

Understanding your mental health can feel overwhelming, especially when you're unsure how to assess your depression levels. This Beck Depression Inventory Questionnaire form template helps clinicians and individuals alike easily measure the severity of depression. With this template, you can streamline evaluation processes, accurately capture responses, and enable targeted support for those in need. Conveniently offered in both printable and online formats, it's designed to enhance accessibility and comply with WCAG standards. Explore how this template can support mental health today.

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Full name
Email address
Age
Under 18
18-24
25-34
35-44
45-54
55-64
65+
I understand this is a self-check and not a diagnosis, and responses may be reviewed by a qualified professional if provided.
Yes
No
I felt sad or down
Never
Rarely
Sometimes
Often
Always
I lost interest or pleasure in activities
Never
Rarely
Sometimes
Often
Always
I felt hopeless about the future
Never
Rarely
Sometimes
Often
Always
I felt worthless or like a failure
Never
Rarely
Sometimes
Often
Always
I was self-critical or blamed myself
Never
Rarely
Sometimes
Often
Always
I had trouble making decisions
Never
Rarely
Sometimes
Often
Always
I had trouble concentrating
Never
Rarely
Sometimes
Often
Always
I felt irritable or easily annoyed
Never
Rarely
Sometimes
Often
Always
I felt tired or had low energy
Never
Rarely
Sometimes
Often
Always
I had trouble falling or staying asleep
Never
Rarely
Sometimes
Often
Always
My appetite changed noticeably
Never
Rarely
Sometimes
Often
Always
I felt slowed down
Never
Rarely
Sometimes
Often
Always
I withdrew from friends or social activities
Never
Rarely
Sometimes
Often
Always
Overall, how difficult have these problems made it to do your work, take care of things at home, or get along with others?
Very difficult
Difficult
Neutral
Easy
Very easy
Today's date
In the past two weeks, I had thoughts of harming myself
Yes
No
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Paper art illustration depicting the Beck Depression Inventory Questionnaire Form Template for FormCreatorAI article

When to use this form

When you need a fast, validated snapshot of depressive symptoms, use this form at intake, during check-ins, or before medication reviews. It helps therapists, primary care teams, and school counselors flag risk, set a baseline, and track change over time. For broad screening in community or telehealth settings, pair it with the Mental health survey form to capture related concerns. If scores are elevated, the Psychosocial assessment form adds detail on stressors, supports, and history that guide care. In integrated care, combine results with the DSM-5 Level 1 cross-cutting symptom measure assessment form to spot co-occurring anxiety, substance use, or sleep issues.

Must Ask Beck Depression Inventory Questionnaire Questions

  1. Over the past two weeks, how often have you felt sad or down?

    This anchors mood severity to a clear time frame, which improves recall and scoring. It helps you compare change between visits and decide if a referral or medication review is needed.

  2. Have you lost interest or pleasure in activities you usually enjoy?

    Loss of interest is a core symptom that signals impact on daily life. When present, you can plan activation tasks and track them with the Daily gratitude journal form.

  3. How has your sleep changed recently (trouble falling asleep, staying asleep, or sleeping too much)?

    Sleep shifts correlate with symptom severity and risk. Knowing the pattern informs coaching, sleep hygiene steps, or medical evaluation.

  4. How often have you had trouble concentrating on tasks like reading or work?

    Concentration problems show functional impairment that matters to schools and employers. This guides documentation, study plans, or workplace adjustments while treatment progresses.

  5. Have you had thoughts that you would be better off dead or of harming yourself?

    This safety screen detects urgent risk and shapes your next action. A positive response should trigger your crisis protocol and a same-day follow-up.

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