| 1. Are you basically satisfied with your life? |
(no) |
| 2. Have you dropped m any of your activities and interests? |
(yes) |
| 3. Do you feel that your life is empty? |
(yes) |
| 4. Do you often get bored? |
(yes) |
| 5. Are you in good spirits most of the time? |
(no) |
| 6. Are you afraid that something bad is going to happen to you? |
(yes) |
| 7. Do you feel happy most of the time? |
(no) |
| 8. Do you often feel helpless? |
(yes) |
| 9. Do you prefer to stay home at night, rather than go out and do new things? |
(yes) |
| 10. Do you feel that you have more problems with memory than most? |
(yes) |
| 11. Do you think it is wonderful to be alive now? |
(no) |
| 12. Do you feel pretty worthless the way you are now? |
(yes) |
| 13. Do you feel full of energy? |
(no) |
| 14. Do you feel your situation is hopeless? |
(yes) |
| 15. Do you think that most persons are better off than you? |
(yes) |
