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. All I do – I do wrong

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

3. The only safe place is my home.

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

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

7. Nothing I do satisfies me.

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

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

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

12. I do not do anything all days long.

13. I feel I am losing my life.

14. I would like everybody to leave me alone.

15. I cannot concentrate even on reading a newspaper.

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 suffer before I fall asleep.

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

18. I have nightmares

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

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 all the different visions of my death in my head.

22. I am guilty for all existing evil.

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

24. I am too tired to do anything.

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

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 sleep as much as never.

27. My environment became strange.

28. I definitely eat more than before.

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

30. 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!

31. I am not interested in sex any more.

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

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

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

35. I am not interested in 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!

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

37. I do not have appetite at all.

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

39. I do not care about my friends.

40. Sometimes I am so afraid that 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!

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

42. I am ashamed of myself.

43. I cannot bear myself.

44. I do not even change my clothes.

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

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 do anything.

47. I lost weight, more than 5 kg.

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

49. I hate myself.

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

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

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

53. I completely lost interest in meeting other people.

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

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

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

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.