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Anxiety / Panic
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Depression
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Stress
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Telephone CoachingA simple process of downloading "forms" from the tab at the top and e-mailing them to Swanny602@hotmail.com will qualify you to have a one hour coaching session for $60 with a follow up e-mail summarizing the coaching session.  Or try the 1/2 hour "get acquainted" session for free.
Depression Screening
Name

Name


Email Address

Email Address


On the list below check how often you have felt this way in the last week.
1.

1.

I was bothered by things that usually don’t bother me.
2.

2.

I did not feel like eating; my appetite was poor.
3.

3.

I felt that I could not shake off the blues even with help from my family.
4.

4.

I felt that I was just as good as other people.
5.

5.

I had trouble keeping my mind on what I was doing.
6.

6.

I felt depressed.
7.

7.

I felt that everything I did was an effort.
8.

8.

I felt hopeful about the future
9.

9.

I thought my life had been a failure.
10.

10.

I felt fearful.
11.

11.

My sleep was restless.
12.

12.

I was happy.
13.

13.

I talked less than usual.
14.

14.

I felt lonely.
15.

15.

People were unfriendly.
16.

16.

I enjoyed life.
17.

17.

I had crying spells.
18.

18.

I felt sad.
19.

19.

I felt that people disliked me.
20.

20.

I could not get “going.”
Possible score is 0-60. A score of 16 or more is considered depressed. Scores may reveal mild to severe depression. Discuss results with your doctor or therapist.

Radloff, L. S. (1997) The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.
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