DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure, Adult Description / Instructions 1.Little interest or pleasure in doing things? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 2.Feeling down, depressed, or hopeless? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 3.Feeling more irritated, grouchy, or angry than usual? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 4.Sleeping less than usual, but still have a lot of energy? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 5.Starting lots more projects than usual or doing more risky things than usual? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 6.Feeling nervous, anxious, frightened, worried, or on edge? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 7.Feeling panic or being frightened? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 8.Avoiding situations that make you anxious? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 9.Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 10.Feeling that your illnesses are not being taken seriously enough? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 11.Thoughts of actually hurting yourself? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 12.Hearing things other people couldn’t hear, such as voices even when no one was around? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day 13.Feeling that someone could hear your thoughts, or that you could hear what another person was thinking? A. Not at all B. Less than a day or two C. Several days D. More than half the days E. Nearly every day
