Scribd Logo
Upload

Welcome to Scribd!

  • 26 views

    PHQ 9

    Uploaded by

    adiithao93

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PHQ 9

    Uploaded by

    adiithao93
    26 views1 page

    Original Title

    PHQ-9

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    26 views1 page

    PHQ 9

    Uploaded by

    adiithao93

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    SCHWIETERS MEDICAL, PLLC

    2781 Pilot Knob Road


    Eagan, MN 55121
    Phone: (651) 289-7300
    Fax: (651) 289-7301

    PHQ-9
    Over the last 2 weeks, how often have you been bothered by the following problems?

    Not at all Several days More than half Nearly every


    1. Little interest or pleasure in
    0 1 2 3
    doing things
    2. Feeling down, depressed or
    0 1 2 3
    hopeless
    3. Trouble falling or staying
    0 1 2 3
    asleep, or sleeping too much
    4. Feeling tired or having little
    0 1 2 3
    energy
    5. Poor appetite or overeating 0 1 2 3
    6. Feeling bad about yourself – or
    that you are a failure or have let 0 1 2 3
    yourself or your family down
    7. Trouble concentrating on
    things, such as reading the 0 1 2 3
    newspaper or watching television
    8. Moving or speaking so slowly
    that other people could have
    noticed? Or the opposite – being
    0 1 2 3
    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 0 1 2 3
    yourself in some way

    TOTAL SCORE

    ________________ _____________+ _____________+ _____________+ _____________

    If you chose any of the 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?

    CIRCLE Not difficult at all Somewhat difficult Very difficult Extremely difficult
    ONE:

    Adrienne Thao
    ___________________________________________________________ 10/02/2023
    ________________________________
    Printed Patient Name Date
    Adapted and reproduced with permission from Spitzer, RL, Kroenke, K, Williams, JB, Lowe, B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med
    2006; 166:1092. Copyright 2006 American Medical Association.

    You might also like