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

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

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

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

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. I look hopeless, unattractive, awful, odious.

7. I am not interested in sex any more.

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

9. I do not do anything all days long.

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

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 care about my friends.

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

13. I definitely eat more than before.

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

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

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 concentrate even on reading a newspaper.

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

18. I feel I am losing my life.

19. I sleep as much as never.

20. 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!

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

22. I have nightmares

23. I am guilty for all existing evil.

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

25. 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!

26. I am ashamed of myself.

27. I do not even change my clothes.

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

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

30. 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!

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

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

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

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

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

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 have stopped cleaning the house, washing the dishes.

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

38. I do not have appetite at all.

39. I completely lost interest in meeting other people.

40. 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!

41. Nothing I do satisfies me.

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

43. I am too tired to do anything.

44. I hate myself.

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

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. My environment became strange.

47. I cannot bear myself.

48. I would like everybody to leave me alone.

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

50. 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!

51. I feel totally lonely.

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

53. All I do – I do wrong

54. I lost weight, more than 5 kg.

55. 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!

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

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.