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BDI-II Patient Questionnaire
PATIENT QUESTIONNAIRE

BDI-II

Please select the one statement in each group that best describes how you have been feeling during the past two weeks, including today.

Instructions: Read each group of statements carefully. Pick the one statement in each group that best describes the way you have been feeling during the past two weeks, including today. If several statements in a group apply equally well, select the highest number for that group. Choose only one statement for every group, including Item 16 and Item 18.
0 of 21 items answered
1. Sadness
2. Pessimism
3. Past Failure
4. Loss of Pleasure
5. Guilty Feelings
6. Punishment Feelings
7. Self-Dislike
8. Self-Criticalness
9. Suicidal Thoughts or Wishes
10. Crying
11. Agitation
12. Loss of Interest
13. Indecisiveness
14. Worthlessness
15. Loss of Energy
16. Changes in Sleeping Pattern
17. Irritability
18. Changes in Appetite
19. Concentration Difficulty
20. Tiredness or Fatigue
21. Loss of Interest in Sex
✓
One-button return

Complete every item, then click SEND COMPLETED FORM. A completed email addressed to Dr. Story will open.

THE PSYCHOLOGICAL CORPORATION · Harcourt Brace & Company · Copyright 1996, by Aaron T. Beck. All rights reserved.