Introduction: This Depression Evaluation Form is designed to assess and evaluate various aspects related to depression. Depression is a common mental health disorder characterized by persistent feelings of sadness, hopelessness, and a lack of interest in activities. This evaluation aims to gather information to better understand and assess an individual's symptoms and severity of depression.

Background: Depression is a significant public health concern globally, affecting individuals of all ages and backgrounds. It can have a profound impact on an individual's quality of life, relationships, and overall well-being. Early detection and intervention are crucial in effectively managing depression and preventing potential complications.

Participant Information:

• Name: __________________________

• Age: ____________________________

• Gender: _________________________

• Date of Evaluation: _______________

Instructions: Please read each statement carefully and select the response that best reflects your experiences over the past two weeks. If you are unsure about a statement, select the option that seems most appropriate to you.

Scoring:

• Not at all: 0 points

• Several days: 1 point

• More than half the days: 2 points

• Nearly every day: 3 points

Total Score: ___________

Interpretation:

• 0-4: Minimal to no depression symptoms

• 5-9: Mild depression symptoms

• 10-14: Moderate depression symptoms

• 15-19: Moderately severe depression symptoms

• 20-27: Severe depression symptoms

Comment/Feedback:

Please use the space below to provide any additional comments or feedback regarding this evaluation form. Your input is valuable in improving our assessment process.

Comments/Feedback: ________________________________________

Thank you for completing the Depression Evaluation Form. Your responses will be kept confidential and used solely for evaluation purposes. Please return the form to the designated healthcare professional.

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