Depression Screening Questionnaire

Instructions

This questionnaire is designed to assess feelings and behaviors related to depression in the context of personal credit and financial matters. Please read each statement carefully and select the response that best describes your experiences over the past two weeks.

  1. Over the past two weeks, how often have you felt sad, down, or hopeless about your financial situation?

   – Not at all

   – Several days

   – More than half the days

   – Nearly every day

  1. Have you experienced a lack of motivation or interest in managing your personal finances or improving your credit score?

   – Not at all

   – Occasionally

   – Frequently

   – Consistently

  1. Do you find it challenging to concentrate on financial tasks, such as budgeting, bill payments, or credit monitoring?

   – Not at all

   – Sometimes

   – Often

   – Always

  1. Have you noticed changes in your spending habits, such as overspending or avoiding financial responsibilities, due to feelings of sadness or low mood?

   – Not at all

   – Occasionally

   – Frequently

   – Consistently

  1. Do you feel overwhelmed or anxious when thinking about your financial obligations, debts, or credit issues?

   – Not at all

   – Occasionally

   – Frequently

   – Consistently

  1. Have you experienced changes in your sleep patterns (e.g., insomnia or oversleeping) related to financial stress or worries?

   – Not at all

   – Occasionally

   – Frequently

   – Consistently

  1. Have you lost interest in activities or hobbies that you previously enjoyed due to financial concerns or limitations?

   – Not at all

   – Occasionally

   – Frequently

   – Consistently

  1. Have you experienced physical symptoms such as headaches, fatigue, or digestive issues that you attribute to financial stress or anxiety?

   – Not at all

   – Occasionally

   – Frequently

   – Consistently

  1. Do you find it difficult to ask for help or support from others when it comes to managing your finances or addressing credit-related challenges?

   – Not at all

   – Occasionally

   – Frequently

   – Consistently

  1. Overall, how would you rate your emotional well-being and mental health in relation to your personal finances and credit situation?

   – Very good

   – Good

   – Fair

   – Poor

Scoring:

For questions 1-9, assign the following values:

– Not at all = 0

– Several days/Occasionally = 1

– More than half the days/Frequently = 2

– Nearly every day/Consistently = 3

Total the scores for all questions to obtain an overall assessment of depression symptoms related to personal credit:

– 0-4: Minimal to no depression symptoms

– 5-9: Mild depression symptoms

– 10-14: Moderate depression symptoms

– 15-21: Severe depression symptoms

Disclaimer

This questionnaire is not a diagnostic tool and should not replace professional evaluation or treatment. If you're experiencing distressing symptoms or concerns about your mental health, please seek support from a qualified healthcare provider or mental health professional.