Citation: Zimmerman M, Chelminski I, McGlinchey JB, Posternak MA: A clinically useful
depression outcome scale. Comprehensive Psychiatry, 49:131-140, 2008.

INSTRUCTIONS
This questionnaire includes questions about symptoms of depression. For each item please indicate how
well, it describes you during the PAST WEEK, INCLUDING TODAY.

RATING GUIDELINES
Not at all true (0 days)
Rarely true (1-2 days)
Sometimes true (3-4 days)
Often true (5-6 days)
Almost always true (every day)

I feel sad or depressed

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I was not as interested in my usual activities

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

My appetite was poor and I didn't feel like eating

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

My appetite was much greater than usual

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I had difficulty sleeping

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I was sleeping too much

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I felt very fidgety, making it difficult to sit still

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I felt physically slowed down, like my body was stuck in mud

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

My energy level was low

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I felt guilty

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I thought I was a failure

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I had problems concentrating

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I had more difficulties making decisions than usual

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I wished I was dead

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I thought about killing myself

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

I thought that the future looked hopeless

Not at all true

Rarely true

Sometimes true

Often true

Almost always true

Overall, how much have symptoms of depression interfered with or caused difficulties in your life during the past week?

Not at all

A little bit

A moderate amount

Quite a bit

Extremely

How would you rate your overall quality of life during the past week?

Very good, my life could hardly be better

Pretty good, most things are going well

The good and the bad parts are about equal

Pretty bad, most things are going poorly

Very bad, my life could hardly be worse

Clinically Useful Depression Scale

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