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About Us
Residential Program
IOP
Our Team
Testimonials
Resources
Our Approach
Functional Medicine
Ketamine Therapy
Therapies
Addiction Program
Activities
Mental Health Program
Trauma
Anxiety
Depression
ADHD
Bipolar
Addiction Program
Alcohol
Benzodiazepines
Opiates
Cocaine
Amphetamine
Marijuana
Heroin
Hallucinogens
Barbiturates
Adderall
Admissions
What To Bring
FAQs
Verify Insurance
Blog
Products
(801) 499-9316
Depression Quiz
At Maple Mountain Wellness
Call Now
Depression Quiz
Step
1
of
11
9%
Hidden
1
1. Little interest or pleasure in doing things. Over the last 2 weeks, how often have you been bothered by any of the following problems?
(Required)
Not at all
Several Days
More than half the days
Nearly every day
Hidden
2
(Required)
2. Feeling down, depressed, or hopeless. Over the last 2 weeks, how often have you been bothered by any of the following problems?
(Required)
Not at all
Several Days
More than half the days
Nearly every day
Hidden
3
(Required)
3. Trouble falling or staying asleep, or sleeping too much. Over the last 2 weeks, how often have you been bothered by any of the following problems?
(Required)
Not at all
Several Days
More than half the days
Nearly every day
Hidden
4
(Required)
4. Feeling tired or having little energy. Over the last 2 weeks, how often have you been bothered by any of the following problems?
(Required)
Not at all
Several Days
More than half the days
Nearly every day
Hidden
5
(Required)
5. Poor appetite or overeating. Over the last 2 weeks, how often have you been bothered by any of the following problems?
(Required)
Not at all
Several Days
More than half the days
Nearly every day
Hidden
6
(Required)
6. Feeling bad about yourself or that you are a failure or have let yourself or your family down. Over the last 2 weeks, how often have you been bothered by any of the following problems?
(Required)
Not at all
Several Days
More than half the days
Nearly every day
Hidden
7
(Required)
7. Trouble concentrating on things, such as reading the newspaper or watching television. Over the last 2 weeks, how often have you been bothered by any of the following problems?
(Required)
Not at all
Several Days
More than half the days
Nearly every day
Hidden
8
(Required)
8. Moving 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. Over the last 2 weeks, how often have you been bothered by any of the following problems?
(Required)
Not at all
Several Days
More than half the days
Nearly every day
Hidden
9
(Required)
9. Thoughts that you would be better off dead, or of hurting yourself. Over the last 2 weeks, how often have you been bothered by any of the following problems?
(Required)
Not at all
Several Days
More than half the days
Nearly every day
Hidden
10
(Required)
10. If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? Over the last 2 weeks, how often have you been bothered by any of the following problems?
(Required)
Not difficult at all
Somewhat difficult
Very difficult
Extremely difficult
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
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