Use our readymade template to create your PHQ-9 screening tool for depression
Create your care assessments
| PHQ-9 score | Depression Severity | Proposed treatment |
|---|---|---|
| 0-4 | None - Minimal | May not need treatment |
| 5-9 | Mild | Watchful waiting |
| 10-14 | Moderate | Consider counseling |
| Moderately severe | Active treatment | |
| Severe | Immediate initiation |
- Prebuilt template with PHQ-9 scoring to assess the presence of depression and measure its severity
- 9-item questionnaire that scores each of the 9 DSM-IV criteria as “0” (not at all) to “3” (nearly every day)
- Real-time calculation of PHQ-9 Score and depression severity based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of depression
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Over the last two weeks, how often have you been bothered by any of the following problems? | |
| Little interest or pleasure in doing things | More than half the days |
| Feeling down, depressed or hopeless | Several days |
| Trouble falling or staying asleep, or sleeping too much | More than half the days |
| Feeling tired or having little energy | Several days |
| Poor appetite or overeating | Several days |
| Feeling bad about yourself — or that you are a failure or have let yourself or your family down | More than half the days |
| Trouble concentrating on things, such as reading the newspaper or watching television | Nearly every day |
| Moving or speaking so slowly that other people could have noticed. Or, the opposite - being so fidgety or restless that you have been moving around a lot more than usual | Several days |
| Thoughts that you would be better off dead or of hurting yourself in some way | Nearly every day |
| PHQ-9 Score | 16 |
| Depression Severity | Moderately Severe |
- Pre-populate patient details such as patient id, name, email etc in the PHQ-9 assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their PHQ-9 assessment form prior to their visit
- Allow patients to save their progress and complete their PHQ-9 assessment form at a later time without losing any responses
- Set up an email template for your PHQ-9 assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their PHQ-9 score, diagnosis, next steps when they submit their PHQ-9 assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | Little interest or pleasure in doing things | More than half the days | 2 | 16 |
| 3 | John W | Feeling down, depressed or hopeless | Several days | 1 | 16 |
| 4 | John W | Trouble falling or staying asleep, or sleeping too much | More than half the days | 2 | 16 |
| 5 | John W | Feeling tired or having little energy | Several days | 1 | 16 |
| 6 | John W | Poor appetite or overeating | Several days | 1 | 16 |
| 7 | John W | Feeling bad about yourself — or that you are a failure or have let yourself or your family down | More than half the days | 2 | 16 |
| 8 | John W | Trouble concentrating on things, such as reading the newspaper or watching television | Nearly every day | 3 | 16 |
| 9 | John W | Moving or speaking so slowly that other people could have noticed. Or, the opposite - being so fidgety or restless that you have been moving around a lot more than usual | Several days | 1 | 16 |
| 10 | John W | Thoughts that you would be better off dead or of hurting yourself in some way | Nearly every day | 3 | 16 |
- Export patient responses including the calculated PHQ-9 score and depression severity to Google Sheets for easy record-keeping
- Export individual points for 9 DSM-IV criteria to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their depression symptoms
- Receive a copy of the response and the calculated PHQ-9 score by email whenever a patient submits their PHQ-9 assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Over the last two weeks, how often have you been bothered by any of the following problems? | |
| Little interest or pleasure in doing things: | More than half the days |
| Feeling down, depressed or hopeless: | Several days |
| Trouble falling or staying asleep, or sleeping too much: | More than half the days |
| Feeling tired or having little energy: | Several days |
| Poor appetite or overeating: | Several days |
| Feeling bad about yourself — or that you are a failure or have let yourself or your family down: | More than half the days |
| Trouble concentrating on things, such as reading the newspaper or watching television: | Nearly every day |
| Moving or speaking so slowly that other people could have noticed. Or, the opposite - being so fidgety or restless that you have been moving around a lot more than usual: | Several days |
| Thoughts that you would be better off dead or of hurting yourself in some way: | Nearly every day |
| PHQ-9 Score: | 16 |
| Depression Severity: | Moderately Severe |
| PHQ-9 Score: | 16 |
| Depression Severity: | Moderately Severe |
- Create a HIPAA compliant PHQ-9 assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting PHQ-9 form responses to Google Sheets and sending them on email
- Prepopulate patient details in PHQ-9 assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 27, 2023
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July 23, 2023
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February 16, 2024
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October 31, 2023
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