© 2009 • Midtown Psychotherapy Associates, PLLC
• 701 Richmond, Suite 110 Houston, Texas 77006
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The Burns Depression Checklist *
Instructions: Place a check in the box to the right of each of the 15 symptom clusters to indicate how much this type of feeling has been bothering you in the past several days. Make sure you answer all the
questions. If you feel unsure about any, put down your best guess.
