It's most likely the one you're given each time you go for a physical (or at least, we are where I live) - it's more like:

In the past week, how often have you...

• Worried about the future
• Felt that you can't do anything right
• Had trouble focusing on common tasks
• Felt hopeless or depressed
• ...etc

with options like "Never", "Rarely", "Most days", "Almost all of the time"

Or my favorite for low-income jobs for quite a while now they have had questionnaires with all sorts of questions like I often think about murdering my coworkers, all the time, some of the time, almost never, and never. Sometimes I think about murdering my boss, never, almost never, most of the time, and all the time. I did murder my boss and so forth.

It's so just obvious and everything it makes you wonder what insurance douchebag came up with that and forced these grocery stores and the like to use that for lower rates which is how it happens.