Patient Health Questionnaire (PHQ-9) | ||
Over the last two weeks, how often have you been bothered by any of the following problems? | ||
1 | Little interest or pleasure in doing things? | 1) Not at all 2) Several Days 3) More than half the days 4) Nearly every day |
2 | Feeling down, depressed, or hopeless? | 1) Not at all 2) Several Days 3) More than half the days 4) Nearly every day |
3 | Trouble falling or staying asleep, or sleeping too much? | 1) Not at all 2) Several Days 3) More than half the days 4) Nearly every day |
4 | Feeling tired or having little energy? | 1) Not at all 2) Several Days 3) More than half the days 4) Nearly every day |
5 | Poor appetite or overeating? | 1) Not at all 2) Several Days 3) More than half the days 4) Nearly every day |
6 | Feeling bad about yourself, or that you are a failure or have let yourself or your family down? | 1) Not at all 2) Several Days 3) More than half the days 4) Nearly every day |
7 | Trouble concentrating on things, such as reading the newspaper or watching television? | 1) Not at all 2) Several Days 3) More than half the days 4) Nearly every day |
8 | 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? | 1) Not at all 2) Several Days 3) More than half the days 4) Nearly every day |
9 | Thoughts that you would be better off dead, or of hurting yourself in some way? If yes specify: 1-…………………… 2-…………………… 3-…………………… | 1) Not at all 2) Several Days 3) More than half the days 4) Nearly every day |
Depression Severity: 0 - 4 none, 5 - 9 mild, 10 - 14 moderate, 15 - 19 moderately severe, 20 - 27 severe. |