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.