Patient Health Questionnaire (PHQ-9) FormThe PHQ-9 is the depression module, which scores each of the nine DSM-IV criteria as "0" (not at all) to "3" (nearly every day). It has been validated for use in primary care.2 It is not a screening tool for depression but it is used to monitor the severity of depression and response to treatment.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Over the last two weeks, how often have you been bothered by any of the following problems - Little interest or pleasure in doing things? *Not at allSeveral DaysMore than half the daysNearly EverydayOver the last two weeks, how often have you been bothered by any of the following problems - Feeling down, depressed, or hopeless? *Not at allSeveral DaysMore than half the daysNearly EverydayOver the last two weeks, how often have you been bothered by any of the following problems - Trouble falling or staying asleep, or sleeping too much? *Not at allSeveral DaysMore than half the daysNearly EverydayOver the last two weeks, how often have you been bothered by any of the following problems - Feeling tired or having little energy? *Not at allSeveral DaysMore than half the daysNearly EverydayOver the last two weeks, how often have you been bothered by any of the following problems - Poor appetite or overeating? *Not at allSeveral DaysMore than half the daysNearly EverydayOver the last two weeks, how often have you been bothered by any of the following problems - Feeling bad about yourself - or that you are a failure or have let yourself or your family down? *Not at allSeveral DaysMore than half the daysNearly EverydayOver the last two weeks, how often have you been bothered by any of the following problems - Trouble concentrating on things, such as reading the newspaper or watching television? *Not at allSeveral DaysMore than half the daysNearly EverydayOver the last two weeks, how often have you been bothered by any of the following problems - 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? *Not at allSeveral DaysMore than half the daysNearly EverydayOver the last two weeks, how often have you been bothered by any of the following problems - Thoughts that you would be better off dead, or of hurting yourself in some way? *Not at allSeveral DaysMore than half the daysNearly EverydaySelect Your Score Below & Find Out the Severity *0-4 : No Depression5-9 : Mild Depression10-14 : Moderate Depression15-19 : Moderately Severe Depression20-27 : Severe DepressionThe copyright for the PHQ-9 was formerly held with Pfizer, who provided the educational grant for Drs Spitzer, Williams and Kroenke who originally designed it.1This is no longer the case and no permission is required to reproduce, translate, display or distribute the PHQ-9.Would you like to explore the results over a free 15-Minute call with our Woselle Mental Health Therapists? *YesNoSubmit
