Sad or down in the dumps
0
1
2
3
4

Discouraged or hopeless
0
1
2
3
4

Low self-esteem
0
1
2
3
4

Worthless of inadequate
0
1
2
3
4

Loss of pleasure or satisfaction in life
0
1
2
3
4

Do you have any suicidal thoughts?
0
1
2
3
4

Would you like to end your life?
0
1
2
3
4

Anxious
0
1
2
3
4

Frightened
0
1
2
3
4

Worrying about things over and over
0
1
2
3
4

Tense or on edge
0
1
2
3
4

Nervous
0
1
2
3
4

Frustrated
0
1
2
3
4

Annoyed
0
1
2
3
4

Resentful
0
1
2
3
4

Angry
0
1
2
3
4

Irritated
0
1
2
3
4

Sudden feelings of terror or overwhelming fear
0
1
2
3
4

Sudden terrifying panic attacks that come out of the blue
0
1
2
3
4

Suddenly feeling you're going crazy or cracking up
0
1
2
3
4

Suddenly feeling you're about to suffocate or pass out
0
1
2
3
4

Suddenly feeling you'll have a stroke, heart attack, or die
0
1
2
3
4

Communication and openness
0
1
2
3
4
5
6

Resolving conflicts and arguments
0
1
2
3
4
5
6

Degree of affection and caring
0
1
2
3
4
5
6

Intimacy and closeness
0
1
2
3
4
5
6

Satisfaction in life
0
1
2
3
4
5
6