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Home / Templates/ Healthcare/ Beck Depression Inventory Questionnaire

Beck Depression Inventory Questionnaire

Apply a standardized clinical scale to assess the severity of a patient's depressive symptoms.

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Sadness

0 - Not at all 1 - Mild 2 - Moderate 3 - Severe

Pessimism

0 - Not at all 1 - Mild 2 - Moderate 3 - Severe

Past Failure

0 - Not at all 1 - Mild 2 - Moderate 3 - Severe

Loss of Pleasure

0 - Not at all 1 - Mild 2 - Moderate 3 - Severe

Guilty Feelings

0 - Not at all 1 - Mild 2 - Moderate 3 - Severe

Punishment Feelings

0 - Not at all 1 - Mild 2 - Moderate 3 - Severe

Self-Dislike

0 - Not at all 1 - Mild 2 - Moderate 3 - Severe

Self-Criticalness

0 - Not at all 1 - Mild 2 - Moderate 3 - Severe

Suicidal Thoughts or Wishes

0 - Not at all 1 - Mild 2 - Moderate 3 - Severe

Crying

0 - Not at all 1 - Mild 2 - Moderate 3 - Severe

Evaluator Name

Evaluation Date

Clinical Observations

Follow-up Plan

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