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|
|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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