SAD Questionnaire

SAD Questionnaire: Score each question from 0-3 with 0 being never- very infrequently experience to 3 being experience it significantly

QUESTION/SYMPTOM	TIME OF YEAR	YOUR RESPONSE
Do you have difficulty waking up in the morning?	September/October
2.Do you have reduced energy and feel very sluggish?	September/October
3.Do you crave carbs ( i.e. sweets, breads & pasta)?	September/October
4.Do you have an increased appetite?	September/October
5.Do you have sleep difficulties including needing to sleep more?	November/December
6.Do you have weight gain?	November/December
7.Do you have difficulties concentrating?	November/December
8.Do you have a reduced libido? (interest in sex)	November/December
9.Would you rather spend time on your own versus time with family or friends?	November/December
10.Do you feel sad or depressed?	November/December
11.Do you feel sensitive, anxious or irritable?	November/December
YOUR TOTAL SCORE

Your Evaluation of SAD & Winter Blues:

• If your total score is 0-10 there is a low risk that you have either SAD or the winter blues.
• If your total score is 11-22 there is a moderate risk that you may be experiencing SAD and a high risk that you have the winter blues. It is recommended that you follow up with your health care team for proper assessment and support.
• If your total score is 23-33 there is a high risk that you may be experiencing SAD. It is recommended that you follow up with your health care team for proper assessment and support.

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