Sheffield Memory Service & Complex Geriatric Care

Specialist in Memory, Parkinson’s disease, Stroke, Dizziness, Falls & Complex Ageing

Sheffield Memory Service &
Complex Geriatric Care

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Sheffield Memory Service & Complex Geriatric Care

Specialist in Memory, Parkinson’s disease, Stroke, Dizziness, Falls & Complex Ageing

Mood and Wellbeing Questionnaire (GDS-15)

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Mood and Emotional Wellbeing

This short questionnaire helps us understand how you have been feeling in yourself.

It includes 15 simple yes or no questions and usually takes only a few minutes to complete. Please answer based on how you have been feeling recently. There are no right or wrong answers.

It will take 3-5 min to complete.

Patient name *

Date of birth *

Save and Resume Later

There are 15 questions to answer.

It will take 3-5 min to complete.

1. Are you basically satisfied with your life? *

2. Have you dropped many of your activities and interests? *

3. Do you feel that your life is empty? *

4. Do you often get bored? *

5. Are you in good spirits most of the time? *

6. Are you afraid that something bad is going to happen to you? *

7. Do you feel happy most of the time? *

8. Do you often feel helpless? *

9. Do you prefer to stay at home rather than going out and doing new things? *

10. Do you feel you have more problems with memory than most? *

11. Do you think it is wonderful to be alive now? *

12. Do you feel pretty worthless the way you are now? *

13. Do you feel full of energy? *

14. Do you feel that your situation is hopeless? *

15. Do you think that most people are better off than you are? *

Consent *

I confirm that the information provided is accurate to the best of my knowledge.
I consent to this information being used for clinical assessment and stored securely in accordance with data protection regulations.

Save and Resume Later

Your form entry has been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternatively, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

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