• Patient Health Questionnaire (PHQ-9)

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Over the last 2 weeks, how often have you been bothered by any of the following problems?
    Rows
  • Add columns + +      

  • (Healthcare professional: For interpretion of total, please refer to accompanying scoring card).

  • 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?
  • Copyright © 1999 Pfizer Inc. All rights reserved. Reproduced with permission. PRIME-MD© is a trademark of Pfizer Inc. A2663B 10-04-2005

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