PROMIS Emotional Distress- Depression- Pediatric Item Bank

Question Title

* 1. Please fill in the demographic information below

Question Title

* 2. Instructions to the child:  On the DSM-5 Level I cross cutting questionnaire that you just completed/ you indicated that during the past 2 weeks your child receiving care has been bothered by "not finding interest or pleasure in doing things" and/ or "seeming seeming down, depressed, or hopeless" at a mild or greater level of severity.  The questions below ask about these feelings in more detail and especially how often your child receiving care has been bothered by a list of symptoms during the past 7 daysPlease respond to each item by selecting one box per row.

  1- Never 2- Almost Never 3- Sometimes 4- Often 5- Almost Always
1. Could not stop feeling sad.
2. Felt alone.
3. Felt like he/ she couldn't do anything right.
4. Felt lonely.
5. Felt sad.
6. Felt unhappy.
7. Thought that his/ her life was bad.
8. Didn't care about anything.
9. Felt stressed.
10 Felt too sad to eat.
11. Wanted to be by himself/ herself

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