Illinois Institute for Integrated Mental Health

Dr. Eldin Dzudza, MD

PATIENT PORTAL
401 N. Michigan Ave., Suite 1239 • Chicago, IL
4770 N. Lincoln, Suite 7 • Chicago, IL
(312) 467-0903
  • home
  • Psychiatric Services
    • Adult ADHD
    • Anxiety
    • Depression
    • Medication Management
  • Other Services
    • Mind/Body
  • Connect Virtually
  • About Dr. D
  • Contact Us

mini_strip1_2nd_pgs

Depression Questionnaire

Have you been thinking about suicide lately?
Yes

No

Have you lost interest in activities that were once pleasurable, including sex?
Yes

No

Do you experience persistent sad, anxious or "empty" feelings?
Yes

No

Would you rather hide under the covers than get out into the sunlight?
Yes

No

Have you been suffering from chronic insomnia?
Yes

No

Have you noticed an excessive weight gain or loss lately?
Yes

No

Do you abuse drugs or alcohol?
Yes

No

If you answered yes to any of these questions, please contact us today to see how you can feel fine fast.

Please call my office to schedule an appointment at (312) 467-0903.

    Your Name (required)

    Your Email (required)

    Subject

    Your Message

    Copyright © 2023 · Illinois Institute for Integrated Mental Health