I've been studying a few facts about depression. I would like to ask you a few questions about depression. Don't feel like you have to answer any question you don't want to answer.

1. What year were you born?  
YEAR OF BIRTH
DON'T KNOW
REFUSE
2. What is the highest grade or year of school you have completed? [Read choices if necessary.]  
Eighth grade or less
Some high school
High school graduate or GED certificate
Some post high school
College graduate (Associate or Bachelor's)
Post graduate education or degree
Other (Specify)
DON'T KNOW
REFUSE
3. What is the highest grade or year of school that anyone else in your household has completed? [Read choices if necessary.]  
Eighth grade or less
Some high school
High school graduate or GED certificate
Some post high school
College graduate (Associate or Bachelor's)
Post graduate education or degree
Other (Specify)
DON'T KNOW
REFUSE
4. Are you currently: [List the choices.]  
Employed or self-employed full-time
Employed or self-employed part-time
Homemaker or caregiver
Out of work or unable to work
Student
Student and employed
Retired
Something else (Specify)
REFUSE
5. Are you currently: [Pick one from the list that you feel best describes your current status.”]  
Married
Partnered
Divorced
Widowed
Separated
Never married
Other (Specify)
DON'T KNOW
REFUSE
6. Do you have a history of depression in your family?  
YES
NO
REFUSE
7. Do you ever feel hopeless? If so, do you know why?  
YES
NO
REFUSE
8. Have you experienced a traumatic or emotional even recently? If so, how have you felt since it happened?    
9. Have you lost someone close to you recently? If so, how have you felt since it happened?    
Most of the time, do people say you are a pessimist or an optimist?  
Optimist
Pessimist
Id you don't know, which do you think you are more like?
10.What is your energy level most of the time?  
Very high
High
Medium
Low
Very low
11.Did you know that depression is a very common illness in the United States?  
Yes
No
Refuse
12.When you feel down, depressed, or blue, what help you feel good again?    

 

 

13.What do you think causes depression in people?