TMS Health Center - Depression Test

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Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Area Code

Phone Number

4

The following questionnaire consists of 9 statements. Please read each group of statements carefully, and then pick out the one statement in each group that best describes the way you have been feeling during the past two weeks, including today.

If several statements in the group seem to apply equally well, select the highest number for that group.

5

Over the last 2 weeks, how often have you been bothered by any of the following problems?

6

1. Little interest or pleasure in doing things* This field is required.

Not at all

Several days

More than half the days

Nearly every day

7

2. Feeling down, depressed, or hopeless* This field is required.

Not at all

Several days

More than half the days

Nearly every day

8

3. 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

9

4. Feeling tired or having little energy* This field is required.

Not at all

Several days

More than half the days

Nearly every day

10

5. Poor appetite or overeating* This field is required.

Not at all

Several days

More than half the days

Nearly every day

11

6. 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

12

7. Trouble concentrating on things, such as reading the newspaper or watching television* This field is required.

Not at all

Several days

More than half the days

Nearly every day

13

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* This field is required.

Not at all

Several days

More than half the days

Nearly every day

14

9. Thoughts that you would be better off dead or of hurting yourself in some way* This field is required.

Not at all

Several days

More than half the days

Nearly every day

15

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?

Not difficult at all

Somewhat difficult

Very difficult

Extremely difficult

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PHQ - 9 ScoreClick next to see what it means

17

Your results suggest mild depression. Even slight feelings of sadness or low mood can affect daily activities. Reach out to discuss ways we can help you feel better.

18

Our results suggest moderate depression. These symptoms might be impacting your motivation, relationships, or work more than you realize. We can help you find effective treatment strategies. Reach out to discuss ways we can help you feel better.

19

Your results point to severe depression. Persistent low mood and difficulty finding enjoyment in everyday life deserve immediate attention. Don’t wait—we can help you receive personalized care and support.

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If there was a non-invasive, supportive way to improve your depression or anxiety would you want to learn more?* This field is required.

Yes, definitely

I'd like more information

I'm not sure, but I'm open to it

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What concerns or questions do you have about your symptoms or treatment options?* This field is required.

22

Preferred Contact Method* This field is required.

Call

Text

Email