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Patient Health Questionnaire - 9

Patient Health Questionnaire - 9

PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.

Patient Name

Patient Email

Patient Phone Number

Over the last two weeks, how often have you been bothered by any of the following problems? *

	Not at all	Several days	More than half the days	Nearly every day
Little interest or pleasure in doing things
Feeling down, depressed or hopeless
Trouble falling or staying asleep, or sleeping too much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself — or that you are a failure or have let yourself or your family down
Trouble concentrating on things, such as reading the newspaper or watching television
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
Thoughts that you would be better off dead or of hurting yourself in some way

Patient Health Questionnaire - 9

Click Submit to finish.

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