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307, Third Floor, The Pallazo, Next to Wisdom School, Amanora Park Town, Hadapsar, Pune, Maharashtra 411028
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Over the last 2 weeks, how often have you been bothered by any of the following problems? Your answers are confidential and will only be reviewed by our clinical team ahead of your consultation.

1Little interest or pleasure in doing things

Please share any details you think would help our team understand your situation.

2Feeling down, depressed, or hopeless

Please share any details you think would help our team understand your situation.

3Trouble falling or staying asleep, or sleeping too much

Please share any details you think would help our team understand your situation.

4Feeling tired or having little energy

Please share any details you think would help our team understand your situation.

5Poor appetite or overeating

Please share any details you think would help our team understand your situation.

6Feeling bad about yourself — or that you are a failure or have let yourself or your family down

Please share any details you think would help our team understand your situation.

7Trouble concentrating on things, such as reading the newspaper or watching television

Please share any details you think would help our team understand your situation.

8Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual

Please share any details you think would help our team understand your situation.

9Thoughts that you would be better off dead or of hurting yourself in some way

Please share any details you think would help our team understand your situation.