PHQ-9

Patient health questionnaire PHQ-9

Over the last 2 weeks, how often have you been bothered by any of the following problems? (select the box to indicate your answer)

Q1 - 9

Not at all

Several days

More than half the days

Nearly every day

Little interest or pleasure in doing things

Feeling down, depressed, or hopeless

Trouble falling or staying asleep,or sleeping too much

Feeling tired or having little energy

Poor appetite or overeating

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

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

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

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

Q10

Not difficult at all

Somewhat difficult

Very difficult

Extremely difficult

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?

Your initials

Date of birth

PSYCHIATRIC SERVICES

Mood disorders

Anxiety

Post traumatic stress

Depression

Cognitive behavioural therapy

Obsessive compulsive disorder

CONTACT

Make an appointment with Dr Clayton Smith

02 9334 3888

St John of God Medical Centre
3 Grantham Street, Burwood, Sydney

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