How have you been feeling in the past week? A = Rarely or none of the time (less than 1 day) B = Some or a little of the time (1 – 2 days) C = Occasionally or a moderate amount of the time (3 – 4 days) D = Most or all of the time (5 – 7 days) 1. I was bothered by things that usually don't bother me. 2. I had trouble keeping my mind on what I was doing. 3. I felt depressed. 4. I felt that everything I did was an effort. 5. I felt hopeful about the future. 6. I felt fearful. 7. My sleep was restless. 8. I was happy. 9. I felt lonely. 10. I could not "get going".
11. How often do you attend church or other religious meetings? • A. More than once/wk • B. A few times a month • C. A few times a year • D. Once a year or less • E. Never • 12. How often do you spend time in private religious activities, such as prayer, meditation or Bible study? • A. More than once a day • B. Daily • C. Two or more times/week • D. A few times a month • E. Rarely or never
A. Definitely true of me • B. Tends to be true • C. Unsure • D. Tends not to be true • E. Definitely not true • 13. In my life, I experience the presence of the Divine (i.e., God). • 14. My religious beliefs are what really lie behind my whole approach to life. • 15. I try hard to carry my religion over into all other dealings in life.
I am a member of the following organizations: A = No B = Used to be, but not now C = Yes 16. Fraternity / sorority 17. Co-op 18. Sports team 19. FIG (Freshman Interest Group) 20. Church/religious group 21. Political organization 22. Extra curricular organization 23. I carry around photos/mementos of loved ones/pets/etc.