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PHQ-9

PATIENT HEALTH QUESTIONNAIRE-9

1
Over the last 2 weeks, how often have you been bothered by any of the following problems? * This field is required.
Not at all
Several days
More than half the days
Nearly every day
1. Little interest or pleasure in doing things
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
2. Feeling down, depressed, or hopeless
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
3. Trouble falling or staying asleep, or sleeping too much
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
1. Little interest or pleasure in doing things
2. Feeling down, depressed, or hopeless
3. Trouble falling or staying asleep, or sleeping too much
Not at all
Row 0, Column 0
Several days
Row 0, Column 1
More than half the days
Row 0, Column 2
Nearly every day
Row 0, Column 3
Not at all
Row 1, Column 0
Several days
Row 1, Column 1
More than half the days
Row 1, Column 2
Nearly every day
Row 1, Column 3
Not at all
Row 2, Column 0
Several days
Row 2, Column 1
More than half the days
Row 2, Column 2
Nearly every day
Row 2, Column 3
1 of 3
2
Over the last 2 weeks, how often have you been bothered by any of the following problems? * This field is required.
Not at all
Several days
More than half the days
Nearly every day
4. Feeling tired or having little energy
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
5. Poor appetite or overeating
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
6. Feeling bad about yourself — or that you are a failure or have let yourself or your family down
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
4. Feeling tired or having little energy
5. Poor appetite or overeating
6. Feeling bad about yourself — or that you are a failure or have let yourself or your family down
Not at all
Row 0, Column 0
Several days
Row 0, Column 1
More than half the days
Row 0, Column 2
Nearly every day
Row 0, Column 3
Not at all
Row 1, Column 0
Several days
Row 1, Column 1
More than half the days
Row 1, Column 2
Nearly every day
Row 1, Column 3
Not at all
Row 2, Column 0
Several days
Row 2, Column 1
More than half the days
Row 2, Column 2
Nearly every day
Row 2, Column 3
1 of 3
3
Over the last 2 weeks, how often have you been bothered by any of the following problems? * This field is required.
Not at all
Several days
More than half the days
Nearly every day
7. Trouble concentrating on things, such as reading the newspaper or watching television
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
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
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
9. Thoughts that you would be better off dead or of hurting yourself in some way
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
7. Trouble concentrating on things, such as reading the newspaper or watching television
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
9. Thoughts that you would be better off dead or of hurting yourself in some way
Not at all
Row 0, Column 0
Several days
Row 0, Column 1
More than half the days
Row 0, Column 2
Nearly every day
Row 0, Column 3
Not at all
Row 1, Column 0
Several days
Row 1, Column 1
More than half the days
Row 1, Column 2
Nearly every day
Row 1, Column 3
Not at all
Row 2, Column 0
Several days
Row 2, Column 1
More than half the days
Row 2, Column 2
Nearly every day
Row 2, Column 3
1 of 3
4
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?* This field is required.
Not difficult at all
Somewhat difficult
Very difficult
Extremely difficult
5
Who is this for?Name | Number | Email
Enter Full Name Here
Please enter your phone
Please enter your email
Anything else you would like us to know?
6
If everything looks good, you can submit now.

Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.
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