Finding the Best Depression Treatment Questionnaire

Ask the Right Questions at
Your Next Doctor's Appointment

Get Started

Is this doctor’s appointment for yourself or someone else?

Myself
Spouse
Child
Parent
Friend or other relative

1 of 6

What is the reason for the appointment?

Routine visit
New or worsening symptoms
Medication issues or side effects
Second opinion
Evaluation for a possible diagnosis of depression

2 of 6

Has a doctor diagnosed you or your loved one with depression?

Yes, Diagnosed
No, Undiagnosed

3 of 6

Is the appointment with a current or new doctor?

Current doctor
New doctor

4 of 6

What are your symptoms? (Optional)

Distinctly depressed or irritable mood
Decreased or increased weight or appetite
Increased or decreased sleep
Appearing slowed or agitated
Fatigue and loss of energy
Feeling worthless or guilty

(add another?)

5 of 6

What medications are you taking (if any) for Depression? (Optional)

6 of 6

This Guide Is Based On Your Answers

Appointment For:
Reason(s):
Diagnosis:
Care Provider:

@Your Appointment

for Depression

Questions for Your Doctor

All Questions About Depression

REMEMBER TO DISCUSS

Symptoms:

Medications:

REMEMBER TO BRING

Insurance Card and Info

Driver's License or ID

This Guide And Pen

CNN