Name	Value
REPORT NUMBER	61
INSTRUMENT	CESD5
RPT	\|Center for Epidemiologic Studies Depression Scale (5-item version)\|\|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.>\|\|CESD5 Scale Score: \|\|Questions and Answers\|1.I felt that I could not shake off the blues even with help from my family or friends.\| <Answer_3821>\|2.I felt depressed.\| <Answer_3822>\|3.I felt hopeful about the future.\| <Answer_3825>\|4.I felt fearful.\| <Answer_3823>\|5.My sleep was restless.\| <Answer_3824>\| $~

Name

Value

REPORT NUMBER

INSTRUMENT

RPT

|Center for Epidemiologic Studies Depression Scale (5-item version)||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.>||CESD5 Scale Score: ||Questions and Answers|1.I felt that I could not shake off the blues even with help 
from my family or friends.|    <*Answer_3821*>|2.I felt depressed.|    <*Answer_3822*>|3.I felt hopeful about the future.|    <*Answer_3825*>|4.I felt fearful.|    <*Answer_3823*>|5.My sleep was 
restless.|    <*Answer_3824*>| $~

61 (61) MH REPORT (601.93)