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"