Assessment for Depression and Low Mood

Contact Information

How is your day to day mood?

Social interactions

Suicidal thoughts [and/or actions]

I self-harm [scratching, cutting, drugging, drinking etc.]

Sexual interest



I remember past events and think “what if”

I remember things as always being bad

Guilt and/or low self-esteem and/or worthlessness etc.:

I feel very tired when I am should normally be awake and alert:

I find hard to concentrate: