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FORMS

CUDOS

DEPRESSION

INSTRUCTIONS

This questionnaire includes questions about symptoms of depression. For each item please indicate how well it describes you during the PAST WEEK, INCLUDING TODAY. Choose the number in the columns next to the item that best describes you

RATING GUIDELINES

0 = not at all true (0 days)

1 = rarely true (1-2 days)

2 = sometimes true (3-4 days)

3 = often true (5-6 days)

4 = almost always true (every day)

During the PAST WEEK, INCLUDING TODAY....

I felt sad or depressed
I was not as interested in my usual activities
My appetite was poor and I didn't feel like eating
My appetite was much greater than usual
I had difficulty sleeping
I was sleeping too much
I felt very fidgety, making it difficult to sit still
I felt physically slowed down, like my body was stuck in mud
My energy level was low
I felt guilty
I thought I was a failure
I had problems concentrating
I had more difficulties making decisions than usual
I wished I was dead
I thought about killing myself
I thought that the future looked hopeless
Overall, how much have symptoms of depression interfered with or caused difficulties in your life during the past week?
How would you rate your overall quality of life during the past week?

Clinically Useful Depression Outcome Scale (CUDOS)
Zimmerman, M., Chelminski, I., McGlinchey, J. B., & Posternak, M. A. (2008). A clinically useful depression outcome scale. Comprehensive Psychiatry, 49(2), 131-140. http://dx.doi.org/10.1016/j.comppsych.2007.10.006

Thanks for submitting!

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