Geriatric Depression Scale (GDS) Form
Asks about date of screening, satisfied with life, and dropped activities and interests. Built for routine depression screening at geriatric wellness visits.
- Questions
- 15
- Pages
- 2
- Time
- about 4 min
Includes
- Medication list
Your practice
Geriatric Depression Scale (GDS) Form
Page 1 of 2 · Your information
Live preview. Tap through it like a patient.
Who it is for
- Routine depression screening at geriatric wellness visits
- Nursing home and assisted living facility intake assessments
- Home health visit mental health evaluations
- Post-hospitalization mood screening for elderly patients
What's inside
Before you publish: Clinical review required: this worksheet does not calculate scores, diagnose, or recommend treatment. Confirm the questions and response options against your approved assessment protocol before use.
Page 1 · Your information
- Patient NameText · Required
- Date of BirthDate
- Date of ScreeningDate
- Satisfied with LifeLong Text
- Dropped Activities and InterestsLong Text
Page 2 · Additional details
- Afraid Something Bad Will HappenLong Text
- Feel HelplessLong Text
- Prefer Staying HomeLong Text
- Memory ProblemsLong Text
- Current MedicationsMedications
From form to a ready patient

01
Make it yours
Reword, reorder, or add to the Geriatric Depression Scale (GDS) Form, and add your logo.

02
Patients finish it at home
A secure link by text or email, filled out on their phone before the visit. No app.

03
Your team sees who is ready
Each visit shows as ready once its forms are in. Answers land on the patient record.
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Questions
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