GERIATRIC DEPRESSION RATING SCALE
Brink et al., 1982; Yesavage et al., 1983 - SHORT version  - Sheik et al., 1986
(to be completed by a trained clinician)

       DATE:           TIME (24hr): 

Choose the best answer for how you have felt over the past week:

Yes / No

[]   []   1. Are you basically satisfied with your life?
[]   []   2. Have you dropped many of your activities and interests?
[]   []   3. Do you feel that your life is empty?
[]   []   4. Do you often get bored?
[]   []   5. Are you in good spirits most of the time?
[]   []   6. Are you afraid that something bad is going to happen to you?
[]   []   7. Do you feel happy most of the time?
[]   []   8. Do you often feel helpless?
[]   []   9. Do you prefer to stay at home, rather than going out and doing new things?
[]   [] 10. Do you feel you have more problems with memory than most?
[]   [] 11. Do you think it is wonderful to be alive now
[]   [] 12. Do you feel pretty worthless the way you are now
[]   [] 13. Do you feel full of energy?
[]   [] 14. Do you feel that your situation is hopeless?
[]   [] 15. Do you think that most people are better off than you are?

    

TEXT FOR YOUR RECORDS

(GDS  maximum score = 15)

0   -     4    normal, depending on age, education, complaints
5   -     8    mild
8   -   11    moderate
12 -  15    severe

Electronic form developed at the Palo Alto Veterans Affairs Hospital
  by Wes Ashford, M.D., Ph.D. and Anil Sharma, M.D.
Neither the GDS nor this electronic form are protected by copyright.
There is no individual or agency that takes responsibility for the results obtained
with this test or this form.