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. I do not do anything all days long.

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

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

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

5. I cannot bear 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!

6. Nothing I do satisfies me.

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

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

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

10. 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!

11. I do not even change my clothes.

12. I am ashamed of myself.

13. I am not interested in sex any more.

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

15. I completely lost interest in meeting 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!

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

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

18. I would like everybody to leave me alone.

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

20. I do not care about my friends.

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 do not feel like meeting with my relatives.

22. I am not interested in anything.

23. My environment became strange.

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

25. 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!

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

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

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

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

30. I cannot do anything.

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 am too tired to do anything.

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

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

34. I cannot concentrate even on reading a newspaper.

35. I am guilty for all existing evil.

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 do not have appetite at all.

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

38. I suffer before I fall asleep.

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

40. I lost weight, more than 5 kg.

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 have stopped cleaning the house, washing the dishes.

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

43. I feel I am losing my life.

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

45. The only safe place is my home.

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 put on weight, more than 5 kg.

47. All I do – I do wrong

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

49. I hate myself.

50. I sleep as much as never.

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. I definitely eat more than before.

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

53. I have nightmares

54. I feel totally lonely.

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

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

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.