115 (115)    MH REPORT (601.93)

Name Value
REPORT NUMBER 115
INSTRUMENT BDI
RPT
.| .| Beck Depression Inventory| | Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| SSN: <.Patient_SSN.>| DOB: 
<.Patient_Date_Of_Birth.> (<.Patient_Age.>)| Gender: <.Patient_Gender.>| | | <.DLL_String.>| |  |  | BDI Total|    DEPRESSION SCORE: <-DEPRESSION SCORE->| 1 <*Answer_348*>| 2 <*Answer_349*>| 3 
<*Answer_350*>| 4 <*Answer_351*>| 5 <*Answer_352*>| 6 <*Answer_353*>| 7 <*Answer_354*>| 8 <*Answer_355*>| 9 <*Answer_356*>| 10 <*Answer_357*>| 11 <*Answer_358*>| 12 <*Answer_359*>| 13 <*Answer_360*>| 
14 <*Answer_361*>| 15 <*Answer_362*>| 16 <*Answer_363*>| 17 <*Answer_364*>| 18 <*Answer_365*>| 19 <*Answer_366*>| 20 <*Answer_367*>| 21 <*Answer_368*>| 22 <*Answer_369*>| | | Information contained in 
this note is based on a self-report assessment and is not sufficient to use alone for diagnostic purposes.  Assessment results should be verified for accuracy and used in conjunction with other 
diagnostic activities and procedures.|  $~