Mood & Feelings Questionnaire
This form is about how you might have been feeling or acting recently.

For each question, please check how you have been feeling or acting in the past two weeks.

If a sentence was not true about you, check NOT TRUE.
If a sentence was only sometimes true, check SOMETIMES.
If a sentence was true about you most of the time, check TRUE.

Score the MFQ as follows:
NOT TRUE = 0
SOMETIMES = 1
TRUE = 2
Full Name *
Phone Number *
INSTRUCTIONS: This scale is designed for your personal use. There are no right or wrong answers. Usually your first response is the best. Please print these pages out for your personal use. You may also bring this assessment with you to your appointment and discuss the findings during your visit.
I felt miserable or unhappy.
Clear selection
I didn’t enjoy anything at all.
Clear selection
I felt so tired I just sat around and did nothing.
Clear selection
I was very restless.
Clear selection
I felt I was no good anymore.
Clear selection
I cried a lot.
Clear selection
I found it hard to think properly or concentrate.
Clear selection
I hated myself.
Clear selection
I was a bad person.
Clear selection
I felt lonely.
Clear selection
I thought nobody really loved me.
Clear selection
I thought I could never be as good as other kids.
Clear selection
I did everything wrong.
Clear selection
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