For each item note the number that best characterises the patient during the past week

1 - DEPRESSED MOOD (Sadness, hopeless, helpless, worthless)
	0	Absent.
	1	These feeling states indicated only on questioning.
	2	These feeling states spontaneously reported verbally.
	3	Communicates feeling states non-verbally i.e., through facial expression, posture, voice, and tendency to weep
	4	Patient report VIRTUALLY ONLY these feeling states in his spontaneous verbal and non-verbal communication.
2 - FEELING OF GUILT
	0	Absent.
	1	Self reproach, feels he has let people down.
	2	Ideas of guilt or rumination over past errors or sinful deeds.
	3	Present illness is a punishmnent. Delusions of guilt.
	4	Hears accusatory or denunciatory voices and/or experiences threatening visual hallucinations.
3 - SUICIDE
	0	Absent.
	1	Feels life is not worth living.
	2	Wishes he were dead or any thoughts of possible death to self.
	3	Suicide ideas or gesture.
	4	Attempts at suicide (any serious attempt rates 4).
4 - INSOMNIA EARLY
	0	No difficulty falling asleep.
	1	Complains of occasional difficulty falling asleep - i.e., more than 1/2 hour.
	2	Complains of nightly difficulty falling asleep.
5 - INSOMNIA MIDDLE
	0	No difficulty
	1	Patient's complains of being restless and disturbed during the night.
	2	Waking during the night - any getting out of bed rates 2 (except for purposes of voiding).
6 - INSOMNIA LATE
	0	No difficulty.
	1	Waking in early hours of the morning but goes back to sleep.
	2	Unable to fall asleep again if he gets out of bed.

7 - WORK AND ACTIVITIES
	0	No difficulty
	1	Thoughts and feelings of incapacity, fatigue or weakness related to activities ; work or hobbies.
	2	Loss of interest in activity ; hobbies or work - either directly reported by patient, or indirect in listlessness, indecision and vacillation (feels he has to push self to work or activities).
	3	Decrease in actual time spent in activities or decrease in productivity. In hospital, rate 3 if patient does not spend at least three hours a day in activities (hospital job or hobbies) exclusive of ward chores
	4	Stopped working because of present illness. In hospital, rate 4 if patient engages in no activities except ward chores, or if patient fails to perform ward chores unassisted.
8 - RETARDATION (Slowness of thought and speech; impaired ability to concentrate; decreased motor activity.)
	0	Normal speech and thought
	1	Slight retardation at interview.
	2	Obvious retardation at interview
	3	Interview difficult.
	4	Complete stupor.
9 - AGITATION
	0	None.
	1	Fidgetiness
	2	Playing with hands, hair,etc.
	3	Moving about, can't sit still.
	4	Hand wringing, nail biting, hair-pulling, biting of lips.
10 - ANXIETY PSYCHIC
	0	No difficulty.
	1	Subjective tension and irritability.
	2	Worrying about minor matters
	3	Apprehensive attitude apparent in face or speech.
	4	Fears expressed without questioning.
11 - ANXIETY SOMATIC (Physiological concomitants of anxiety, such as : - Gastro-intestinal: dry mouth, wind, indigestion, diarrhea, cramps, belching. - Cardio-vascular : palpitations, headaches. - Respiratory: hyperventilation, sighing. - Urinary frequency - Sweating.)
	0	Absent
	1	Mild.
	2	Moderate
	3	Severe.
	4	Incapacitating.

12 - SOMATIC SYMPTOMS GASTRO-INTESTINAL
	0	None.
	1	Loss of appetite but eating without staff encouragement. Heavy feelings in abdomen.
	2	Difficulty eating without staff urging. Requests or requires laxatives or medication for bowels or medication for gastro-intestinal symptoms.
13 - SOMATIC SYMPTOMS GENERAL
	0	None
	1	Heaviness in limbs, back or head. Backaches, headache, muscle aches. Loss of energy and fatigability.
	2	Any clear-cut symptom rates 2.
14 - GENITAL SYMPTOMS (Symptoms such as : loss of libido, menstrual disturbances)
	0	Absent.
	1	Mild.
	2	Severe.
15 - HYPOCHONDRIASIS
	0	Not present.
	1	Self-absorption (bodily).
	2	Preoccupation with health.
	3	Frequent complaints, requests for help, etc. ...
	4	Hypochondriacal delusions.
16 - LOSS OF WEIGHT
	A) When rating by history :
	0	No weight loss
	1	Probable weight loss associated with present illness.
	2	Definite (according to patient) weight loss.
OR
	B) On weekly rating by ward psychiatrist, when actual weight changes are measured :
	0	Less than 1 lb (500 g), weight loss in week
	1	Greater than 1lb (500 g), weight loss in week.
	2	Greater than 2 lb (1000 g), weight loss in week.
17 - INSIGHT
	0	Acknowledges being depressed and ill
	1	Acknowledges illness but attributes cause to bad food, climate, overwork, virus, need for rest, etc.
	2	Denies being ill at all.