DEPRESSION SCREENING TEST

Details of the test:
- The test does not confirm that you are depressed, it helps you understand your feelings
- The test is anonymous (You do not have to state your name)
- There is no time limit to complete the test
- The test has nineteen (19) questions
- The test is a multiple choice format, please choose the answer that best applies to you
Who should take this test?
- This test can be taken by any person over 18 years of age and does not require any supervision.
- This test has been adapted for South Africans but can be used by other nationalities
When taking the test, you should try to:
- Complete the test in a quiet space
- Answers the questions as honestly as possible
- Avoid distractions such as talking, texting, listening to music, watching TV
- Complete the whole test once you begin to get an accurate result

We would like to invite you participate in research being conducted on this tool.
Would you like to participate?*
- Yes, I would like to participate
- No, take me to the test
Good Day

My name is Tasneem Hassem, we are conducting research on the depression screening tool in order to improve the tool. We would like to invite you to take part in the study. We are particularly interested in your perceptions of the website, the actual tool which you will complete and the feedback you will receive after completing the tool.

Participation will entail providing demographic information, completing the depression tool and answering questions based on the questions asked in the tool. This should take approximately 10-15 minutes to complete. Participation is anonymous. This study has received ethical clearance from the Human Research Ethics Committee (Medical) at the University of the Witwatersrand (M180402).

If you have any queries, concerns or complaints regarding the ethical procedures of this study, please feel free to contact the Human Research Ethics Committee, Medical (HREC-M),or Zanele.Ndlovu@wits.ac.za.

Results of this study and the tool will be made available on the website. Please feel free to contact my supervisor or myself on the emails listed below.

Yours sincerely,
Tasneem Hassem, tasneen.hassem@wits.ac.za,
Prof. Sumaya Laher, sumaya.laher@wits.ac.za
Consent*
I consent to participate in this study

Demographic Information
Gender*
- Female
- Male
Age*
Please specify your population group (only required for statistical purposes)
- Black
- Coloured
- Indian
- White
Religion*
- Christianity
- Hinduism
- Judaism
- Islam
- Traditional African Religion
- No Religious Affiliation
Home Language*
- Afrikaans
- English
- Xhosa
- Zulu
- Ndebele
- Sepedi
- Setswana
- Xitsonga
- Tshivenda
- Swati
Please rate your English proficiency (ability to speak and undertake various tasks)*
Very Poor Poor Good Excellent
Please rate your English comprehension (ability to understand English)*
Very Poor Poor Good Excellent
Please rate your English reading skills*
Very Poor Poor Good Excellent
Have you been diagnosed with any physical illness?*
- Yes
- No
If yes, please specify the illness*
Have you been diagnosed with any mental illness?*
- Yes
- No
If yes, please specify the illness*
Are you currently taking any medication for the physical or mental illnesses you have stated above?*
- Yes
- No
If yes, please specify the type of and reason for medication*
Have you been diagnosed with depression previously?*
- Yes
- No
When were you diagnosed with depression?*
Who diagnosed you with depression?*
- GP (doctor)
- Psychiatrist
- Psychologist
When was your last depression episode?*
- During this month
- In the past two months
- In the past six months
- A year ago

Depression Screening Tool Instructions

This tool consists of 19 statements of how you might have felt or behaved over the past two months.

For each statement, please click the box that shows how often you have felt or behaved in this way over the past two months.

Please answer ALL the statements as honestly possible.

I have been experiencing more body aches and pains (e.g. headache, neck pain or back pain)*
Not at all Some of the time Most of the time All of the time
I have been thinking too much*
Not at all Some of the time Most of the time All of the time
I have been feeling sad or down*
Not at all Some of the time Most of the time All of the time
I had trouble keeping my mind on what I was doing*
Not at all Some of the time Most of the time All of the time
My weight has changed without me trying (lost weight or gained weight)*
Not at all Some of the time Most of the time All of the time
I felt like I have been moving too slowly*
Not at all Some of the time Most of the time All of the time
I could not make a decision about simple things*
Not at all Some of the time Most of the time All of the time
I could not get rid of this sad feeling*
Not at all Some of the time Most of the time All of the time
I have lost interest in my usual activities*
Not at all Some of the time Most of the time All of the time
I felt that most things are my fault*
Not at all Some of the time Most of the time All of the time
I have not liked myself*
Not at all Some of the time Most of the time All of the time
My sleep has changed (having trouble sleeping or sleeping more than usual)*
Not at all Some of the time Most of the time All of the time
I could not do things that I always done*
Not at all Some of the time Most of the time All of the time
I have been feeling tired*
Not at all Some of the time Most of the time All of the time
I could not focus on important things*
Not at all Some of the time Most of the time All of the time
My eating has changed (eating less than normal/more than normal)*
Not at all Some of the time Most of the time All of the time
Nothing has made me happy*
Not at all Some of the time Most of the time All of the time
I have been feeling alone*
Not at all Some of the time Most of the time All of the time
I have not felt like myself*
Not at all Some of the time Most of the time All of the time
If you feel vulnerable after completion of the questionnaire, the following organisations may be contacted telephonically if you are in South Africa:

South African Depression and Anxiety Group (SADAG)-0800 567 567 (toll free) (SADAG provides 24-hour telephonic counselling)

Alternatively, you may visit www.sadag.org or contact any other mental health services in your community or country.

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Step 1 of 6

Details of the test:

Who should take this test?

When taking the test, you should try to:

Demographic Information

Depression Screening Tool Instructions

South African Depression and Anxiety Group (SADAG)-0800 567 567 (toll free) (SADAG provides 24-hour telephonic counselling)