PHQ-9 (Patient Health Questionnaire)

PHQ9
Over the last 2 weeks, how often have you been bothered
by any of the following problems?
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

0 – 4          Normal

5 – 9         Mild

10 – 14     Moderate

15 – 19     Moderately Severe

20 – 27    Severe

If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our privacy policy to discover how we protect and manage your submitted data.
Consent

© Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant fromPfizer Inc.