1. Before I became depressed, exercise was important to me to the following degree:
0 not much 1 2 3 4 5 a great deal
2. When I have exercised, it made a difference in my mood:
0 not much 1 2 3 4 5 a great deal
3. The extent to which I relate to life in terms of accomplishments and achievements is:
0 not much 1 2 3 4 5 a great deal
4. Prior to my depressive episode I was an "entrepreneurial personality" (someone who enjoys organizing and taking the risks of a new business):
0 not much 1 2 3 4 5 a great deal
5. I have been described as hyperactive either now or in the past:
0 not much 1 2 3 4 5 a great deal
6. With regards to my depression:
0 there are large swings in my mood 1 2 3 4 5 my depression stays constant
7. I get "stuck" on thoughts – especially negative ones – and find it difficult to get them out of my mind:
5 not much 4 3 2 1 0 a great deal
8. The degree of "darkness" – the degree that things seem black – that I feel when I am depressed is:
5 not much 4 3 2 1 0 a great deal
9. I feel that my interpersonal needs are not being met by others:
5 not much 4 3 2 1 0 a great deal
10. I consider myself a perfectionist – it is very important to me that details of my work be done precisely right:
5 not much 4 3 2 1 0 a great deal
FBAS copyright © 2011 D. Stewart Bell MD