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Hello:
You are invited to participate in our survey [for Kenleigh Callahans Psychology class]. In this survey, approximately [20] people will be asked to complete a survey that asks questions about [DEPRESSION]. It will take approximately [5] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
 
* Have you ever felt depressed?
 
Yes
 
No
 
Unsure
 
 
 
* How often do you feel depressed?
 
Daily
 
Weekly
 
Monthly
 
Unsure
 
Other
 
 
 
 
What types of depression symptoms do you feel (Select all that apply)?
 
Fatigue
 
Guilt
 
Sadness
 
Worthlessness
 
Loss of interest
 
Mood swings
 
Hopelessness
 
Other
 

 
 
 
* Do you ever think of suicide?
 
Yes
 
No
 
Other
 
 
 
 
Are you aware of why you've experienced depression? (If yes, explain below)
 
No
 
Unsure
 
Yes
 
 
 
 
Do you feel like you could fix your depression?
 
Yes
 
No
 
 
 
Do you know someone who has suffered from depression?
 
No
 
If yes, who?
 
 
 
 
Would you be willing to seek help?
 
Yes
 
No
 
Other
 
 
 
 
How often do you put yourself down?
 
Daily
 
Weekly
 
Only once in awhile
 
Always
 
Other