BDI-II BDI-II Your Name Age Gender ---FemaleMale Surgery Dr Date PLEASE READ EACH GROUP OF STATEMENTS CAREFULLY AND PICK OUT THE ONE STATEMENT IN EACH GROUP THAT BEST DESCRIBES THE WAY YOU HAVE BEEN FEELING DURING THE PAST TWO WEEKS (including today). EACH STATEMENT HAS A CORRESPONDING SCORE (0,1,2,3). IF MORE THAN ONE STATEMENT APPLIES TO YOU, PLEASE CHOOSE THE STATEMENT WITH THE HIGHEST SCORING. We understand that some questions may be sensitive, but please try your best to answer all 21 questions, otherwise results may not be accurate. Sadness: ---0 I do not feel sad1 I feel sad much of the time2 I am sad all the time3 I am so sad or unhappy that I can’t stand it Pessimism: ---0 I am not discouraged about my future1 I feel more discouraged about my future than I used to be2 I do not expect things to work out for me3 I feel my future is hopeless and will only get worse Past Failure: ---0 I do not feel like a failure1 I have failed more than I should have2 As I look back, I see a lot of failures3 I feel I am a total failure as a person Loss of Pleasure: ---0 I get as much pleasure as I ever did from the things I enjoy1 I don’t enjoy things as much as I used to2 I get very little pleasure from the things I used to enjoy3 I feel I am a total failure as a person Guilty Feelings: ---0 I don’t feel particularly guilty1 I feel guilty over many things I have done or should have done2 I feel quite guilty most of the time3 I feel guilty all of the time Punishment Feelings: ---0 I don’t feel I am being punished1 I feel I may be punished2 I expect to be punished3 I feel I am being punished Self-Dislike: ---0 I feel the same about myself as ever1 I have lost confidence in myself2 I am disappointed in myself3 I dislike myself Self-Criticalness: ---0 I don’t criticize or blame myself more than usual1 I am more critical of myself than I used to be2 I criticize myself for all of my faults3 I blame myself for everything bad that happens Suicidal Thoughts or Wishes: ---0 I don’t have any thoughts of killing myself1 I have thoughts of killing myself, but I would not carry them out2 I would like to kill myself3 I would kill myself if I had the chance Crying: ---0 I don’t cry anymore than I used to1 I cry more than I used to2 I cry over every little thing3 I feel like crying, but I can’t Agitation: ---0 I am no more restless or wound up than usual1 I feel more restless or wound up than usual2 I am so restless or agitated that its hard to stay still3 I am so restless or agitated that I have to keep moving or doing something Loss of Interest: ---0 I have not lost interest in other people or activities1 I am less interested in other people or things than before2 I have lost most of my interest in other people or things3 It’s hard to get interested in anything Indecisive Feelings: ---0 I make decisions as well as ever1 I find it more difficult to make decisions than usual2 I have much greater difficulty in making decisions than I used to3 I have trouble making any decisions Worthlessness: ---0 I do not feel I am worthless1 I don’t consider myself as worthwhile and useful as I used to2 I feel more worthless as compared to other people3 I feel utterly worthless Loss of Energy: ---0 I have as much energy as ever1 I have less energy that I used to have2 I don’t have enough energy to do very much3 I don’t have enough energy to do energy Changes in Sleeping Pattern: ---0 I have not experienced any change in my sleeping pattern1 I sleep somewhat more/less than usual2 I sleep a lot more/less than usual3 I sleep most of the day/I wake up 1-2 hrs early and can’t get back to sleep Irritability: ---0 I am no more irritable than usual1 I am more irritable than usual2 I am much more irritable than usual3 I am irritable all the time Changes in Appetite: ---0 I have not experienced any change in my appetite1 My appetite is somewhat less/greater than usual2 My appetite is much less/greater than usual3 I have no appetite at all/ I crave food all the time Concentration Difficulty: ---0 I can concentrate as well as ever1 I can’t concentrate as well as usual2 It’s hard to keep my mind on anything for very long3 I find I can’t concentrate on anything Tiredness or Fatigue: ---0 I am no more tired or fatigued than usual1 I get more tired or fatigued more easily than usual2 I am too tired or fatigues to do a lot of the things I used to do3 I am too tired or fatigued to do most of the things I used to do Loss of Interest in Sex: ---0 I have not noticed any recent change in my interest in sex1 I am less interested in sex than I used to be2 I am much less interested in sex now3 I have lost interest in sex completely Total Score THANK YOU FOR COMPLETING THIS QUESTIONNAIRE STAFF USE ONLY Participants NHS Number: Researchers Name: NHS Site Number: NHS Site Name: Postcode:
