DEPRESSION

Cyn3rgy

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Adolescent Depression
Adolescent depression is a disorder that affects teenagers. It leads to sadness, discouragement, and a loss of self-worth and interest in their usual activities.

DO I QUALIFY FOR THIS STUDY?
Call Cyn3rgy Research to schedule an appointment to see if you might qualify.

DEPRESSION:
self assessment questionnaire

Do you have feelings of sadness most of the time? *

Yes No

Have you lost interest in your usual pleasures or activities? *

Yes No

Have there been changes in your weight or appetite? *

Yes No

Are you sleeping more or less than usual? *

Yes No

Do you have feelings of guilt or worthlessness? *

Yes No

Do you have difficulty concentrating or making decisions? *

Yes No

Do you have a lack of energy or feel fatigued? *

Yes No

Are you irritable? *

Yes No

Do you have feeling of hopelessness? *

Yes No

Have you tried antidepressants but feel there was no improvement? *

Yes No

Is there anything else we should know about you? *

* Indicates required field

Email *

Your email will not be shared with any other companies.

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

How did you hear about us? Friend, website, publication, radio, other *

Submit

We Would Love to hear from you!

Hours

Address:Cyn3rgy Research
24850 SE Stark St. Suite #180
Gresham, OR 97030

Business Hours: Due to the COVID 19 outbreak in our community, Cyn3rgy Research is open, but operating on amended hours for the time being. Until further notice, Cyn3rgy’s operating hours are as follows;
Mon – Thursday, 8:00 am – 5:30 pm
Fri - Per scheduled appointment.

Telephone

503-907-2179

Email

support@cyn3rgy.com

Home
About
- Getting Involved >
Contact
Privacy Policy

DEPRESSION: self assessment questionnaire

We Would Love to hear from you!

Hours

Telephone

Email

DEPRESSION:
self assessment questionnaire