27799668__HEADSSS_Questions__Long_Form___Short_Form
[Subject] Suicide/Depression [Long Form] How do you feel today on a scale of zero to ten, with zero as very sad and ten as very happy? Have you ever felt less than five? What made you feel that way? Did you ever: Think about hurting yourself? Think that life wasn't worth living? Hope that when you went to sleep you wouldn't wake up again? Do you know anyone who has committed suicide? [Short Form] 
Do you ever feel really depressed? How long does it last? Have you ever thought of hurting yourself or suicide?
Adolescent Health Care - Sample HEADSSS Questions (Long Form)
Short Form