Low Mood Indicator - Debbie Featherstone | www.debbiefeatherstone.com

Tinnitus & Cognitive Psychotherapy
Counselling, Psychotherapy
& Tinnitus Management
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Please complete the form below about your mood. This form is for completion by potential and current RESEARCH PARTICIPANTS

Choose the answer for each of the questions as you have been in the previous week. Each has a score 0 - 3  

Your Total Score indicates:

0 - 7 = not significant
8 - 10 = possible or borderline low mood
11 - 21 = significant low mood





I agree
Please answer ALL seven questions. Your answers need to reflect how you have been during the previous week







Thank you for completing your answers. Is there anything you would like to add?

Now press SEND - you will receive a copy of your answers by email

Debbie Featherstone MSc Psychotherapy & Tinnitus Management Specialist

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