CHAT Tool - Offender Health Research Network

Tick No or Yes as appropriate for each question and include additional notes No Yes
DEPRESSION (look for symptoms in the past 2 months)
Begin by asking a general question such as “how have you been feeling over the past month or two”
Have you had problems with feeling sad or angry Give details:
If yes, how often does this happen E.g. all day every day, sometimes every day, a few times
a day
Have you had problems getting to sleep or waking up too early Give details:
If yes, how often does this happen
Are you eating much more or less than usual
Have you lost weight (record how much)
Surname:
DOB:
Forenames:
NHS Number:
CHAT Tool Secure Estate (Version 3 - June 2013)
62 | P age