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Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

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1. He/ she never says he/ she is happy or enjoys anything.

2. He/ she is indifferent to the environment, He/ she even accepts things that irritated him/ her before.

3. He/ she formulates the opinion that his/ her death or disappearance would be the best solution of the problems.

4. He/ she often claims that all the others wish him bad and only wait for his/ her mistake.

5. He/ she eats definitely more than ever.

Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

6. He/ she often agonises him/ herself over his/ her state of health.

7. He/ she believes that the world is a hopeless and that nothing will change.

8. Even beset he/ she does not undertake any activities.

9. It is difficult to persuade him/ her to any activity.

10. He/ she significantly put on weight.

Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

11. He/ she often cries, seemingly for no reason.

12. He/ she has problems with coordination.

13. He/ she takes no action in problematic situations.

14. He/ she often says that he/ she cannot control his/ her thoughts.

15. He/ she states that he/ she can get no satisfaction from his/ her activities.

Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

16. He/ she is not able to make the simplest decisions.

17. He/ she often says that he/ she cannot do anything and that nothing goes off well.

18. He/ she often doesn't get up and doesn't do anything all days long.

19. He/ she often states that his / her life is worth nothing.

20. All of the sudden he/ she is fascinated by death/ suicide people

Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

21. He/ she often claims that he/ she has not achieved anything and that this will not change.

22. He/ she avoids contacts with other people.

23. He/ she preferably spends time alone.

24. He/ she has stopped his/ her sexual activity.

25. He/ she pays no attention to a personal hygiene.

Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

26. He/ she started to sleep a lot more.

27. He/ she has become indifferent to the needs of the next.

28. His/ her behaviour has changed significantly.

29. He/ she significantly lost his/ her weight.

30. He/ she lost appetite.

Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

31. He/ she often ignores the requests coming in and expresses the need for peace of mind.

32. He/ she often has problems with sleep, wakes too early or cannot sleep.

33. He/ she lost interest in family life.

34. He/ she has lost interest in things that he/ she enjoyed before.

35. He/ she gives the impression of a person detached from reality.

Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

36. He/ she claims that he/ she deserves his/ her hopeless life.

37. He/ she often says he is afraid of doing something.

38. He she is withdrawn and not willing to answer the questions.

39. He/ she complains about tiredness and lack of willingness to act.

40. He/ she is silent and withdrawn.

Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

41. He/ she often doesn't change his/ her clothes.

42. He/ she gives negative opinions about him/ herself

43. He/ she has begun to use stimulants or increased their amount.

44. He/ she often accuses the others of staring or even watching him/ her.

45. He/ she has the opinion that his environmant has changed, became strange.

Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

46. He/ she has problems with concentration.

47. He/ she often says that he/ she had nightmares.

48. Most willingly he/ she spends time at home saying tah only there he/ she feels safe.

49. He/ she assigns the blame for the bad things that happen.

50. He/ she is apathetic and it is difficult to change it.

Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

51. He/ she is sad, makes the impression of being unhappy and depressed.

52. He/ she makes animpression of being frightened when he/ she has to contact other people.

53. He/ she suffers from insomia.

54. He/ she has weakened or even stopped contacts with his/ her friends.

55. He/ she expresses negative opinions about his/ her look.

Read statements given below carefully. There is a scale of the answers (from -3 to 3) under each statement. (-3) means that it does not refer to you and (3) means that it fully refers to you. Tick the right answer (according to your knowledge about yourself).
Remember there are no wrong or good answers!

56. He/ she ceased to engage in household duties.

Has the person in question ever been cured of depression? If yes, how long ago?

This test used for depression examination was developed using Beck's scale, PHQ-9 test (authors: Drs. Robert L. Spitzer, Janet B. W. Williams, Kurt Kroenke), Burns scale, and our own research.

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