DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult

Step 1 of 2

50%

Name(Required)

First Last

Sex(Required)

Male

Female

Age(Required)

The questions below ask about things that might have bothered you. For each question, circle the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS.

During the past TWO (2) WEEKS, how much (or how often) have you…

1. Little interest or pleasure in doing things?(Required)

None (Not at all)

Slight (Rare, less than a day or two)

Mild (Several days)