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

2. I do not care about my friends.

3. I sleep as much as never.

4. I would like everybody to leave me alone.

5. I know that my future is lost. And there is nothing that can 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!

6. I lost weight, more than 5 kg.

7. My environment became strange.

8. I am ashamed of myself.

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

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

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

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

13. I do not even change my clothes.

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

15. 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!

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

17. I do not have appetite at all.

18. I hate myself.

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

20. I do not pay 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!

21. I have nightmares

22. I cannot bear myself.

23. I am guilty for all existing evil.

24. The only safe place is my home.

25. 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!

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

27. I completely lost interest in meeting other people.

28. I am not interested in sex any more.

29. I do not do anything all days long.

30. 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!

31. I feel I am losing my life.

32. I am too tired to do anything.

33. I cannot do anything.

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

35. 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!

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

37. I suffer before I fall asleep.

38. Everything around me seems as behind a dark curtain.

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

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

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 definitely eat more than before.

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

43. I am not interested in anything.

44. All I do – I do wrong

45. I feel fear when I think about contacts with other 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!

46. I cannot concentrate even on reading a newspaper.

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

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

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

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

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

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

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

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

55. I feel totally lonely.

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. I put on weight, more than 5 kg.

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.