Patient Health Questionnaire (PHQ-9) Welcome to your Patient Health Questionnaire (PHQ-9) Name Email Phone ID Number Over the last 2 weeks, how often have you been bothered by any of the following problems? 1. Little interest or pleasure in doing things Not at all Several days More than half the days Nearly every day None 2. Feeling down, depressed, or hopeless Not at all Several days More than half the days Nearly every day None 3. Trouble falling or staying asleep, or sleeping too much Not at all Several days More than half the days Nearly every day None 4. Feeling tired or having little energy Not at all Several days More than half the days Nearly every day None 5. Poor appetite or overeating Not at all Several days More than half the days Nearly every day None 6. Feeling bad about yourself or that you are a failure or have let yourself or your family down Not at all Several days More than half the days Nearly every day None 7. Trouble concentrating on things, such as reading the newspaper or watching television Not at all Several days More than half the days Nearly every day None 8. Moving or speaking so slowly that other people could have noticed. Or the opposite being so figety or restless that you have been moving around a lot more than usual Not at all Several days More than half the days Nearly every day None 9. Thoughts that you would be better off dead, or of hurting yourself Not at all Several days More than half the days Nearly every day None 10. If you checked off any problems, how difficult Not difficult at all have these problems made it for you to do your work, take care of things at home, or get along with other people? Not difficult at all Somewhat difficult Very difficult Extremely difficult None Time's up Leave a Reply Cancel replyCommentEnter your name or username to comment Enter your email address to comment Enter your website URL (optional) Save my name, email, and website in this browser for the next time I comment.
