Patient Health Assessment (PHQ-9) - Hermitage Medical Practice

Little interest or pleasure in doing things *

Not at all

Several days

More than half the days

Nearly every day

Feeling down, depressed, or hopeless *

Not at all

Several days

More than half the days

Nearly every day

Trouble falling or staying asleep, or sleeping too much *

Not at all

Several days

More than half the days

Nearly every day

Feeling tired or having little energy *

Not at all

Several days

More than half the days

Nearly every day

Poor appetite or overeating *

Not at all

Several days

More than half the days

Nearly every day

Feeling bad about yourself — or that you are a failure or have let yourself or your family down *

Not at all

Several days

More than half the days

Nearly every day

Trouble concentrating on things, such as reading the newspaper or watching television *

Not at all

Several days

More than half the days

Nearly every day

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 all

Several days

More than half the days

Nearly every day

Thoughts that you would be better off dead or of hurting yourself in some way *

Not at all

Several days

More than half the days

Nearly every day

Depression Screening Form (PHQ-9)

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Depression Screening Form (PHQ-9)

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