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greater elevations Counseling PLLC
Burns Depression Checklist and Anxiety Scale
Indicate how much you have experienced each symptom during the past week, including today.
(0-Not at all, 1-Sometimes, 2-Moderately, 3-A lot, 4-Extremely)
All questions must be completed.
DEPRESSION CHECKLIST
Thoughts and Feelings
Activities and Personal Relationships
Physical Symptoms
Suicidal Urges
ANXIETY SCALE
Thoughts and Feelings
Activities and Personal Relationships
Physical Symptoms
Suicidal Urges
Please answer all questions.
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