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 FEMALE QUESTIONNAIRE - PAGE 5(a) 

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This section deals with depression whether current, recurring or in the past only.
500.  Have you experienced depression in the past?
Barely worth mentioning / don't know
No, definitely not
1-2 episodes that were fully resolved
It is a repeating but tolerable problem
It is a repeating and serious issue
501.  Whether you have depression now, past depressive episodes or both, how severe is / was it?
Don't know
Mild - I can mask it as needed
Moderate - I am still able to function
Serious - it affects all that I do
502.  When depressed, do you also feel agitated, anxious or have difficulty falling / staying asleep?
Don't know
No
Yes, to some extent
Definitely
503.  Can you characterize your depressive episodes as feeling "low" with a strong desire to sleep, sleeping a lot and having trouble getting out of bed?
Don't know
No
Yes, to some extent
Definitely
504.  Does your depression seem to develop or worsen during the darker winter months? (This is sometimes known as seasonal affective disorder.)
Don't know
No
A little
Noticeably
Very definitely

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