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Patient Health Questionnaire - Depression (PHQ-9)

Name:……………………………………………Date of Birth:………………………………………
Over the last 2 weeks, how often have you been bothered by any of the following problems?
Answer each question by circling the appropriate frequency and then add up the corresponding numbers.

Not at all 0
Several days 1
Little interest or pleasure in doing things?
More than half the days 2
Nearly every day 3
Not at all 0
Several days 1
Feeling down, depressed, or hopeless?
More than half the days 2
Nearly every day 3
Not at all 0
Several days 1
Trouble falling or staying asleep, or sleeping too much?
More than half the days 2
Nearly every day 3
Not at all 0
Several days 1
Feeling tired or having little energy?
More than half the days 2
Nearly every day 3
Not at all 0
Several days 1
Poor appetite or overeating?
More than half the days 2
Nearly every day 3
Not at all 0
Feeling bad about yourself - or that you are a failure or have Several days 1
let yourself or your family down? More than half the days 2
Nearly every day 3
Not at all 0
Feeling bad about yourself - or that you are a failure or have Several days 1
let yourself or your family down? More than half the days 2
Nearly every day 3
Not at all 0
Trouble concentrating on things, such as reading the Several days 1
newspaper or watching television? More than half the days 2
Nearly every day 3
Moving or speaking so slowly that other people could have Not at all 0
noticed? Several days 1
Or the opposite - being so fidgety or restless that you have More than half the days 2
been moving around a lot more than usual? Nearly every day 3
Not at all 0
Thoughts that you would be better off dead, or of hurting Several days 1
yourself in some way? More than half the days 2
Nearly every day 3
Total / 27
Depression severity: None 0-4
Mild 5-9
Moderate 10-14
Moderately Severe 15-19
Severe 20-27
Provided by http://www.memmed.co.uk

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