The informations which we request from you on the first page are used exclusively for statistical purposes and are not in any way identified.

Gender

Age

City size

Education

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!

The report from this test costs 5.00 PLN Net (6.15 with VAT). Credit card, PayPal, Fast transfer, SMS payment.

1. What I feel is a punishment which I deserve.

2. I definitely eat more than before.

3. I am too tired to do anything.

4. I would like to cry but I do not even have strength to.

5. I am so worried about my health that I am not able to think about anything else.

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. Sense of guilt and pangs of conscience keep nagging me.

7. I sleep as much as never.

8. I am not interested in anything.

9. I have stopped cleaning the house, washing the dishes.

10. As a matter of fact I am crying all the time.

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. Everything that irritated me in the past makes no difference to me now.

12. There are a lot of people who wish me bad.

13. All I do – I do wrong

14. It would be better for everyone if I died.

15. I suffer before I fall asleep.

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. I cannot do anything.

17. I will commit suicide when an occasion turns up.

18. I am guilty for all existing evil.

19. I know that my future is lost. And there is nothing that can change it.

20. I do not do anything all days long.

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. I have nightmares

22. I sleep for a very short time. I wake up too early and cannot fall asleep again.

23. I feel fear when I think about contacts with other people.

24. The worst part of a day is the morning, just after waking up.

25. I would like everybody to leave me alone.

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. I completely lost interest in meeting other people.

27. I look hopeless, unattractive, awful, odious.

28. Sometimes I am so afraid that I cannot do anything.

29. I feel I am losing my life.

30. The needs of the others (even the next of kin) are not important any more.

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. I do not have appetite at all.

32. I put on weight, more than 5 kg.

33. I am not interested in sex any more.

34. I feel totally lonely.

35. Nothing I do satisfies me.

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. It seems to me that my motions are absolutely uncoordinated.

37. I cannot bear myself.

38. I do not pay attention to a personal hygiene.

39. I have the feeling that both the whole world and my life do not matter.

40. I hate myself.

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. I cannot concentrate even on reading a newspaper.

42. I cannot be happy or feel satisfaction with anything I do.

43. I lost weight, more than 5 kg.

44. My environment became strange.

45. I have all the different visions of my death in my head.

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. I cannot make a decision, even the simplest one.

47. I have a feeling that more and more people observe me and wait for my mistake.

48. I do not care about my friends.

49. This hopeless state I am in will never change.

50. I am sad, unhappy and depressed all the time. I cannot stand it any more.

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. The only safe place is my home.

52. I am ashamed of myself.

53. I need stimulants to regain good mood at least for a moment.

54. I do not feel like meeting with my relatives.

55. I do not even change my clothes.

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. Everything around me seems as behind a dark curtain.

Have you ever been cured of depression? If yes, how long ago?

On the scale given below determine your present state of mind:

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.

Thank you for completing the test.