Burn’s Depression Checklist

Legend:

0 = Not At All
1 = Somewhat
2 = Moderately
3 = A Lot
4 = Extremely

Instructions: Choose a number to indicate how much you have experienced each symptom during the past week, including today. The results of this checklist are not a substitute for clinical evaluation. If you have suicidal thoughts, please get professional help immediately. Please answer all 25 items honestly and objectively. This test is private and the results are not transmitted or in any way saved.

Thoughts and Feelings

  • 01234
  • 01234
  • 01234
  • 01234
  • 01234
  • 01234
  • 01234
  • 01234
  • 01234
  • 01234

Activities and Personal Relationships

  • 01234
  • 01234
  • 01234
  • 01234
  • 01234
  • 01234
  • 01234

Physical Symptoms

  • 01234
  • 01234
  • 01234
  • 01234
  • 01234

Suicidal Urges

  • 01234
  • 01234
  • 01234