PHQ-9

Name

First NameLast Name

Current Age

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

	Not at All	Several Days	More than Half the Days	Nearly Every Day
1. Little interest or pleasure in doing things
Feeling down, depressed, or hopeless
3. Trouble falling or staying asleep, or sleeping too much
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
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

If you checked off any problems, how difficult have these problems made it for you tod o your work, take care of things at home, or get along with other people?

Not difficult at allSomewhat difficultVery difficultExtremely difficult

RAW SCORE

RAW SCORE RATING INTERPRETATIONS

1-4: Minimal Depression

5-9: Mild Depression

10-14: Moderate Depression

15-19: Moderately Severe Depression

20-27: Severe Depression