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MDD IQ (Please Take this Survey Often!)
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1.
How often do you feel down, irritable, or hopeless?
(Required.)
Often
Seldom
Never
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2.
Have you lost interest in any activities lately?
(Required.)
Yes
No
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3.
Are you aware of all Depression Treatment Options?
(Required.)
Yes
No
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4.
Have you ever talked to a doctor about depression?
(Required.)
No
Yes
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5.
How would you explain your sleep pattern?
(Required.)
Good 7-9 Hours
Trouble Falling Asleep
Trouble Staying Asleep
Sleeping Too Much
I can't sleep
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6.
What tools can you use to communicate about your depression at your next healthcare visit?
(Required.)
Tracking
Infographic
Knowledge
All of the Above
Not Sure
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7.
How would you describe your diet?
(Required.)
I over eat
I don't have an appetite
Good and Healthy
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8.
What is
shared decision-making
?
(Required.)
Patient-Centered Healthcare
Where Clinicians and Patients Work Together
Treatments and Care Plans Based on Clinical Evidence
Balance Between Risks and Expected Outcomes w/ Patient Preferences and Values
All of the Above
Not Sure
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9.
How is your energy level?
(Required.)
High Energy
Normal Energy
Low Energy
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10.
What is treatment adherence?
(Required.)
Follow the Medication Directions of Your Prescription
Follow Self-Care and Lifestyle Advice by Healthcare Provider
Follow the Exercise and Diet Advice by Healthcare Provider
All of the Above
Not Sure
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11.
Would you say you have a positive or negative outlook for yourself?
(Required.)
Positive
Negative
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12.
Do you have problems concentrating?
(Required.)
Yes
No
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13.
I am a...
(Required.)
Patient
Caregiver
Clinician
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14.
What is Your Age?
(Required.)
1
50
100
Clear
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15.
What is your gender?
(Required.)
Male
Female
16.
In under 500 words, please tell us your story for a chance to be featured in a depression documentary. (Do not include any identifiable information... just your email below.)
17.
Please join our mailing list to keep updated on depression!
ZIP/Postal Code
Country
Email Address
Current Progress,
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