PHQ-9 Rating Scale

1
Date* This field is required.
Date of Visit
Month
Day
Year
1
1
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11
12
Hour
40
00
01
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Minutes
PM
AM
PM
2
Depression Rating Scale

Over the last 2 weeks, how often have you been bothered by the following problems?
3
You had little interest or pleasure in doing things* This field is required.
Not at all
Several Days
More than half the days
Nearly every day
4
You felt down, depressed or hopeless* This field is required.
Not at all
Several Days
More than half the days
Nearly every day
5
Had trouble falling or staying asleep, or sleeping too much* This field is required.
Not at all
Several Days
More than half the days
Nearly every day
6
Feeling tired or having little energy* This field is required.
Not at all
Several Days
More than half the days
Nearly every day
7
You had poor appetite or overeating* This field is required.
Not at all
Several Days
More than half the days
Nearly every day
8
Feeling bad about yourself or that you are a failure or have let yourself or your family down* This field is required.
Not at all
Several Days
More than half the days
Nearly every day
9
Trouble concentrating on things like watching TV* This field is required.
Not at all
Several Days
More than half the days
Nearly every day
10
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* This field is required.
Not at all
Several Days
More than half the days
Nearly every day
11
Thoughts that you would be better off dead, or of hurting yourself* This field is required.
Not at all
Several Days
More than half the days
Nearly every day
12
Your Depression Score is:* This field is required.
13
Unique ID
14
What did your score?

0–4: No or minimal depression

5–9: Mild depression

15–19: Moderately severe depression

20–27: Severe depression
15
Your scores indicate significant depression. Would you like to schedule a free Zoom appointment with Dr. Hashemian to explore TMS?
Yes, I would like to book a free Zoom appointment to learn about my options.
No, thanks. I will manage it.
16
Depression symptoms are present. Would you like to book a free Zoom appointment with Dr. Hashemian to explore treatment options?
Yes, I would like to book a free Zoom appointment to learn about my options.
No, thanks. I will manage it.
17
Get Page URL
18
Referrer
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