| Code | Display |
| Q1-1 |
Absent and Absent or clinically insignificant |
| Q1-2 |
Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Absent or clinically insignificant |
| Q1-3 |
Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Occasional |
| Q1-4 |
Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Much of the time |
| Q1-5 |
Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Almost all the time |
| Q1-6 |
Moderate (Clear nonverbal signs of sadness, feelings of hopelessness, helplessness, or worthlessness about some aspects of life) and Occasional |
| Q1-7 |
Moderate (Clear nonverbal signs of sadness, feelings of hopelessness, helplessness, or worthlessness about some aspects of life) and Much of the time |
| Q1-8 |
Moderate (Clear nonverbal signs of sadness, feelings of hopelessness, helplessness, or worthlessness about some aspects of life) and Almost all the time |
| Q1-9 |
Severe (Intense sadness, hopelessness about most aspects of life, feelings of complete helplessness or worthlessness) and Occasional |
| Q1-10 |
Severe (Intense sadness, hopelessness about most aspects of life, feelings of complete helplessness or worthlessness) and Much of the time |
| Q1-11 |
Severe (Intense sadness, hopelessness about most aspects of life, feelings of complete helplessness or worthlessness) and almost all of the time |
| Q1-12 |
Very severe (Extreme sadness; intractable hopelessness or helplessness) and Occasional |
| Q1-13 |
Very severe (Extreme sadness; intractable hopelessness or helplessness) and Much off the time |
| Q1-14 |
Very severe (Extreme sadness; intractable hopelessness or helplessness) and Almost all of the time |
| Q2-1 |
Absent and Absent or clinically insignificant |
| Q2-2 |
Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Absent or clinically insignificant |
| Q2-3 |
Mild (Self-critical, self-reproach, e.g., “I’ve letpeople down”) and Occasional |
| Q2-4 |
Mild (Self-critical, self-reproach, e.g., “I’ve letpeople down”) and Much of the time |
| Q2-5 |
Mild (Self-critical, self-reproach, e.g., “I’ve letpeople down”) and Almost all the time |
| Q2-6 |
Moderate (Feelings of guilt, remorse, shame; belief that one has done something bad or wrong) and Occasional |
| Q2-7 |
Moderate (Feelings of guilt, remorse, shame; belief that one has done something bad or wrong) and Much of the time |
| Q2-8 |
Moderate (Feelings of guilt, remorse, shame; belief that one has done something bad or wrong) and Almost all the time |
| Q2-9 |
Severe (Pervasive feelings of guilt; feels the illness is a punishment for sinful deeds) and Occasional |
| Q2-10 |
Severe (Pervasive feelings of guilt; feels the illness is a punishment for sinful deeds) and Much of the time |
| Q2-11 |
Severe (Pervasive feelings of guilt; feels the illness is a punishment for sinful deeds) and almost all of the time |
| Q2-12 |
Very Severe (Delusions, hallucinations) and Much off the time |
| Q2-13 |
Very Severe (Delusions, hallucinations) and Almost all of the time |
| Q3-1 |
Absent and Absent or clinically insignificant |
| Q3-2 |
Mild (Feels life is not worth living, but expresses no wish to die, e.g., “I don’t care if I live or die”) and Absent or clinically insignificant |
| Q3-3 |
Mild (Feels life is not worth living, but expresses no wish to die, e.g., “I don’t care if I live or die”) and Occasional |
| Q3-4 |
Mild (Feels life is not worth living, but expresses no wish to die, e.g., “I don’t care if I live or die”) and Much of the time |
| Q3-5 |
Mild (Feels life is not worth living, but expresses nowish to die, e.g., “I don’t care if I live or die”) and Almost all the time |
| Q3-6 |
Moderate (Wishes to be dead; thoughts of dying, but no specific plan or intent, e.g., “If I got hit by a bus, I wouldn’t care,” “I’d like to go to sleep and never wake up”) and Occasional |
| Q3-7 |
Moderate (Wishes to be dead; thoughts of dying, but no specific plan or intent, e.g., “If I got hit by a bus, I wouldn’t care,” “I’d like to go to sleep and never wake up”) and Much of the time |
| Q3-8 |
Moderate (Wishes to be dead; thoughts of dying, but no specific plan or intent, e.g., “If I got hit by a bus, I wouldn’t care,” “I’d like to go to sleep and never wake up”) and Almost all the time |
| Q3-9 |
Severe (Clear suicidal plan or intent; suicidal gesture, e.g., taking a few sleeping pills) and Occasional |
| Q3-10 |
Severe (Clear suicidal plan or intent; suicidal gesture, e.g., taking a few sleeping pills) and Much of the time |
| Q3-11 |
Severe (Clear suicidal plan or intent; suicidal gesture, e.g., taking a few sleeping pills) and almost all of the time |
| Q3-12 |
Very severe (Attempts at suicide) and Occasional |
| Q3-13 |
Very severe (Attempts at suicide) and Much off the time |
| Q3-14 |
Very severe (Attempts at suicide) and Almost all of the time |
| Q4-1 |
Absent and Absent or clinically insignificant |
| Q4-2 |
Mild (30 – 59 minutes to fall asleep) and Absent or clinically insignificant |
| Q4-3 |
Mild (30 – 59 minutes to fall asleep) and Occasional |
| Q4-4 |
Mild (30 – 59 minutes to fall asleep) and Much of the time |
| Q4-5 |
Mild (30 – 59 minutes to fall asleep) and Almost all the time |
| Q4-6 |
Marked (1 hour or more to fall asleep) and Occasional |
| Q4-7 |
Marked (1 hour or more to fall asleep) and Much of the time |
| Q4-8 |
Marked (1 hour or more to fall asleep) and Almost all the time |
| Q5-1 |
Absent and Absent or clinically insignificant |
| Q5-2 |
Mild (30 – 59 minutes awake) and Absent or clinically insignificant |
| Q5-3 |
Mild (30 – 59 minutes awake) and Occasional |
| Q5-4 |
Mild (30 – 59 minutes awake) and Much of the time |
| Q5-5 |
Mild (30 – 59 minutes awake) and Almost all the time |
| Q5-6 |
Marked (1 hour or more awake) and Occasional |
| Q5-7 |
Marked (1 hour or more awake) and Much of the time |
| Q5-8 |
Marked (1 hour or more awake) and Almost all the time |
| Q6-1 |
Absent and Absent or clinically insignificant |
| Q6-2 |
Mild (30 – 59 minutes awake) and Absent or clinically insignificant |
| Q6-3 |
Mild (30 – 59 minutes awake) and Occasional |
| Q6-4 |
Mild (30 – 59 minutes awake) and Much of the time |
| Q6-5 |
Mild (30 – 59 minutes awake) and Almost all the time |
| Q6-6 |
Marked (1 hour or more awake) and Occasional |
| Q6-7 |
Marked (1 hour or more awake) and Much of the time |
| Q6-8 |
Marked (1 hour or more awake) and Almost all the time |
| Q7-1 |
Absent and Absent or clinically insignificant |
| Q7-2 |
Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Absent or clinically insignificant |
| Q7-3 |
Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Occasional |
| Q7-4 |
Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Much of the time |
| Q7-5 |
Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Almost all the time |
| Q7-6 |
Moderate (Significant reduction in interest or pleasure or clear impairment in functioning) and Occasional |
| Q7-7 |
Moderate (Significant reduction in interest or pleasure or clear impairment in functioning) and Much of the time |
| Q7-8 |
Moderate (Significant reduction in interest or pleasure or clear impairment in functioning) and Almost all the time |
| Q7-9 |
Severe (Profound reduction in interest, pleasure, and functioning) and Occasional |
| Q7-10 |
Severe (Profound reduction in interest, pleasure, and functioning) and Much of the time |
| Q7-11 |
Severe (Profound reduction in interest, pleasure, and functioning) and almost all of the time |
| Q7-12 |
Very Severe (Unable to work; needs help performing self-care activities; unable to function without assistance) and Occasional |
| Q7-13 |
Very Severe (Unable to work; needs help performing self-care activities; unable to function withoutassistance) and Much off the time |
| Q7-14 |
Very Severe (Unable to work; needs help performing self-care activities; unable to function without assistance) and Almost all of the time |
| Q8-1 |
Absent |
| Q8-2 |
Mild (Rate of speech slightly reduced) |
| Q8-3 |
Moderate (Rate of speech clearly reduced with noticeable pauses) |
| Q8-4 |
Severe (Interview clearly prolonged due to long breaks; all movements very slowed) |
| Q8-5 |
Very Severe (Interview cannot be completed, unresponsive) |
| Q9-1 |
Absent (movements within normal range, e.g., occasionally shifts position in seat) |
| Q9-2 |
Mild (Doubtful or slight agitation, mild restlessness,e.g., frequently changing position in seat, foottapping, playing with hair, hands, or clothes) |
| Q9-3 |
Moderate (Moderate to marked restlessness or agitation, e.g., wringing hands, excessive scratching or picking) |
| Q9-4 |
Severe (Cannot sit still or stay seated even for a short period of time; pacing) |
| Q9-5 |
Very Severe (Interview cannot be conducted) |
| Q10-1 |
Absent and Absent or clinically insignificant |
| Q10-2 |
Mild (some feelings of worry or irritability) and Absent or clinically insignificant |
| Q10-3 |
Mild (some feelings of worry or irritability) and Occasional |
| Q10-4 |
Mild (some feelings of worry or irritability) and Much of the time |
| Q10-5 |
Mild (some feelings of worry or irritability) and Almost all the time |
| Q10-6 |
Moderate (excessive worry or irritability; anxiety causes distress; may cause some impairment in functioning) and Occasional |
| Q10-7 |
Moderate (excessive worry or irritability; anxiety causes distress; may cause some impairment in functioning) and Much of the time |
| Q10-8 |
Moderate (excessive worry or irritability; anxiety causes distress; may cause some impairment in functioning) and Almost all the time |
| Q10-9 |
Severe (pervasive worry or dread; fearing the worst; apprehension obvious in demeanor or behavior; significant impairment in functioning; feelings of panic) and Occasional |
| Q10-10 |
Severe (pervasive worry or dread; fearing the worst; apprehension obvious in demeanor or behavior; significant impairment in functioning; feelings of panic) and Much of the time |
| Q10-11 |
Severe (pervasive worry or dread; fearing the worst; apprehension obvious in demeanor or behavior; significant impairment in functioning; feelings of panic) and almost all of the time |
| Q10-12 |
Very Severe (incapacitating) and Occasional |
| Q10-13 |
Very Severe (incapacitating) and Much off the time |
| Q10-14 |
Very Severe (incapacitating) and Almost all of the time |
| Q11-1 |
Absent and Absent or clinically insignificant |
| Q11-2 |
Mild (some distress) and Absent or clinically insignificant |
| Q11-3 |
Mild (some distress) and Occasional |
| Q11-4 |
Mild (some distress) and Much of the time |
| Q11-5 |
Mild (some distress) and Almost all the time |
| Q11-6 |
Moderate (marked distress, may cause some impairment in functioning) and Occasional |
| Q11-7 |
Moderate (marked distress, may cause some impairment in functioning) and Much of the time |
| Q11-8 |
Moderate (marked distress, may cause some impairment in functioning) and Almost all the time |
| Q11-9 |
Severe (significant impairment in functioning) and Occasional |
| Q11-10 |
Severe (significant impairment in functioning) and Much of the time |
| Q11-11 |
Severe (significant impairment in functioning) and almost all of the time |
| Q11-12 |
Very Severe (incapacitating) and Occasional |
| Q11-13 |
Very Severe (incapacitating) and Much off the time |
| Q11-14 |
Very Severe (incapacitating) and Almost all of the time |
| Q12-1 |
Absent and Absent or clinically insignificant |
| Q12-2 |
Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating) and Absent or clinically insignificant |
| Q12-3 |
Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating) and Occasional |
| Q12-4 |
Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating) and Much of the time |
| Q12-5 |
Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating)and Almost all the time |
| Q12-6 |
Marked (Marked loss of appetite, very little interest or pleasure in eating (e.g., forcing self to eat)) and Occasional |
| Q12-7 |
Marked (Marked loss of appetite, very little interest or pleasure in eating (e.g., forcing self to eat)) and Much of the time |
| Q12-8 |
Marked (Marked loss of appetite, very little interest or pleasure in eating (e.g., forcing self to eat)) and Almost all the time |
| Q13-1 |
Absent and Absent or clinically insignificant |
| Q13-2 |
Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Absent or clinically insignificant |
| Q13-3 |
Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Occasional |
| Q13-4 |
Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Much of the time |
| Q13-5 |
Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Almost all the time |
| Q13-6 |
Marked (prominent tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Occasional |
| Q13-7 |
Marked (prominent tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains)and Much of the time |
| Q13-8 |
Marked (prominent tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Almost all the time |
| Q14-1 |
Absent |
| Q14-2 |
Mild (Some loss of interest or pleasure) |
| Q14-3 |
Marked (Marked loss of interest or pleasure) |
| Q15-1 |
Absent and Absent or clinically insignificant |
| Q15-2 |
Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Absent or clinically insignificant |
| Q15-3 |
Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Occasional |
| Q15-4 |
Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Much of the time |
| Q15-5 |
Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Almost all the time |
| Q15-6 |
Moderate (Excessive or unrealistic worry about having an illness, e.g., “I worry that these headaches are from a brain tumor.”) and Occasional |
| Q15-7 |
Moderate (Excessive or unrealistic worry about having an illness, e.g., “I worry that these headaches are from a brain tumor.”) and Much of the time |
| Q15-8 |
Moderate (Excessive or unrealistic worry about having an illness, e.g., “I worry that these headaches are from a brain tumor.”) and Almost all the time |
| Q15-9 |
Severe (Strong unrealistic conviction of having an illness, e.g., “I am convinced I have cancer”) and Occasional |
| Q15-10 |
Severe (Strong unrealistic conviction of having an illness, e.g., “I am convinced I have cancer”) and Much of the time |
| Q15-11 |
Severe (Strong unrealistic conviction of having an illness, e.g., “I am convinced I have cancer”) and almost all of the time |
| Q15-12 |
Very Severe (Somatic delusions or hallucinations, e.g., “My insides are rotting”) and Occasional |
| Q15-13 |
Very Severe (Somatic delusions or hallucinations, e.g., “My insides are rotting”) and Much off the time |
| Q15-14 |
Very Severe (Somatic delusions or hallucinations, e.g., “My insides are rotting”) and Almost all of the time |
| Q16/1-1 |
No weight loss |
| Q16/1-2 |
Probable weight loss |
| Q16/1-3 |
Definite weight loss |
| Q16/2-1 |
Less than 1 lb. (.5 kg) loss per week since last visit |
| Q16/2-2 |
1-2 lb. (.5 – 1 kg) loss per week since last visit |
| Q16/2-3 |
More than 2-lb (> 1 kg) loss per week since last visit |
| Q17-1 |
Any recognition of depressive symptoms, with or without attribution to any cause, e.g., “I’m depressed because my partner always argues with me. |
| Q17-2 |
Denies illness but accepts possibility of being ill, e.g., “I don’t think there’s anything wrong, but other people think there is. |
| Q17-3 |
Complete denial of having any illness, e.g., “I’m not depressed; I’m fine. |