Pacific Institute of Medical Sciences, PIMS, provides innovative and state-of-the-art service to fit YOUR own individual mental health needs.


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Self Evaluation Check List

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HIPPAA Statement

Depression Test


Name:
Email:


1: Do you feel sad or irritable?
Yes
No

2: Have you lost interest in activities once enjoyed?
Yes
No

3: Have you experienced changes in weight or appetite?
Yes
No

4: Have you experienced changes in sleeping pattern?
Yes
No

5: Do you have feelings of guilt?
Yes
No

6: Are you unable to concentrate, remember things, or make decisions?
Yes
No

7: Have you experienced fatigue or loss of energy?
Yes
No

8: Have you experienced restlessness or decreased activity noticed by others?
Yes
No

9: Do you feel hopeless, or worthless?
Yes
No

10: Have you had thoughts of suicide or death?
Yes
No