Hodan Psychological Services
Symptom Test Checklist
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Depression

The following represents some of the symptoms reported
by people who are feeling depressed. If you check five(5)
or more symptoms, please see your physician for further
evaluation and referral.

Do you...

have more sad than happy days?

have a change in sleep pattern?

have low energy, motivation?

have low self esteem, self worth?

experience poor concentration?

have feelings of hopelessness?

think nothing is fun anymore?

cry over everything?

feel like a failure?

Anxiety

The following represents some of the symptoms reported
by people who are feeling anxious. If you check five(5)
or more symptoms, please see your physician for further
evaluation and referral.

Do you...

have heart palpitations?

feel like you can't get enough air?

feel light-headed, dizziness, faint?

experience tingling in your fingers?

experience sweating?

feel trembling or shaking?

get chills or hot flashes?

have nausea or an upset stomach?

feel tense, nervous or fearful?

constantly worry?

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