Burns Depression Inventory Score Sheet After you have completed the Burns Anxiety Inventory add up your total score It will be somewhere between 0 if you answered not at all on all 33 symptoms and 99 if you answered a lot on all 33 symptoms Use this key to interpret your score Total Score Degree of Anxiety 0 4 Minimal or no anxiety
Please review 25 questions from the Burn s Depression Checklist below and mark the correct answer indicating on how much you have experienced the described symptom during the weekly timeframe including today Calculate total score by adding everything up Higher scores suggest greater problems with emotion regulation SUBSCALE SCORING The measure yields a total score SUM as well as scores on six sub scales
Burns Depression Inventory Score Sheet
Burns Depression Inventory Score Sheet
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SCORING KEY FOR THE BURNS DEPRESSION CHECKLIST Total Score Degree of Depression 0 4 minimal or no depression 5 10 normal but unhappy 11 20 borderline to mild depression 21 30 moderate depression Instructions Mark how much you have experienced each symptom during the past week including today Do you have any suicidal thoughts Do you want to end your life Do you have a plan for harming yourself Scores are intended to be interpreted by
Level of Depression Score no depression 0 5 normal but unhappy 6 10 mild depression 11 25 moderate depression 26 50 severe depression 51 75 extreme depression 76 100 BURNS DEPRESSION CHECKLIST 0 None at All 1 Somewhat 2 Moderate 3 A lot 4 Extremely Select the appropriate box that best describes how much you experienced the sympton during this Instructions Put a check to indicate how much you have experienced each symptom during the past week including today Please answer all 25 items Do you have any suicidal thoughts Would you like to end your life Do you have a plan for harming yourself
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Place a check in the box to the right of each category to indicate how much this type of feeling has bothered you in the past several days Sadness Do you feel sad or down in the dumps 2 Discouragement Does the future look hopeless 3 Low Self Esteem Do you feel worthless 4 Inferiority Do you feel inadequate or inferior to others 5 THE BURNS DEPRESSION CHECKLIST Instructions The following is a list of symptoms that people sometimes have Select the appropriate box that best describes how much you experienced the symptom during the past week Thoughts and Feelings 1 Feeling sad or down in the dumps 2 Feeling unhappy or blue 3 Crying spells or tearfulness 4 Feeling
THE BURNS DEPRESSION INVENTORY NAME DATE INSTRUCTIONS The following is a list of symptoms that people sometimes have Put a check in the space to the right that bests describes how much that symptom or problem has bothered you during this past week SYMPTOM LIST After you have completed the test add up your total score It will be somewhere between 0 if you answered not at all for each of the 15 categories and 45 if you answered a lot for each one If your score is 26 to 45 points Your responses to the questionnaire are consistent with symptoms of moderate to severe depression You
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Burn s Depression Checklist Example Free PDF Download
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After you have completed the Burns Anxiety Inventory add up your total score It will be somewhere between 0 if you answered not at all on all 33 symptoms and 99 if you answered a lot on all 33 symptoms Use this key to interpret your score Total Score Degree of Anxiety 0 4 Minimal or no anxiety
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Please review 25 questions from the Burn s Depression Checklist below and mark the correct answer indicating on how much you have experienced the described symptom during the weekly timeframe including today
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Burns Depression Inventory Score Sheet - Instructions Put a check to indicate how much you have experienced each symptom during the past week including today Please answer all 25 items Do you have any suicidal thoughts Would you like to end your life Do you have a plan for harming yourself
