PHQ-9 Rating Scale

Depression Rating Scale
PHQ-9
Date of Service*
MonthDayYear
Date of Visit
Patient Name*
First NameLast Name
Depression Rating Scale-Over the last 2 weeks, how often have you been bothered by the following problems?
1. Little interest or pleasure in doing things*
Not at allSeveral DaysMore than half the daysNearly every day
2. Feeling down, depressed or hopeless*
Not at allSeveral DaysMore than half the daysNearly every day
3. Trouble falling or staying asleep, sleeping too much*
Not at allSeveral DaysMore than half the daysNearly every day
4. Feeling tired or having little energy*
Not at allSeveral DaysMore than half the daysNearly every day
5. Poor appetite or overeating*
Not at allSeveral DaysMore than half the daysNearly every day
6. Feeling bad about yourself-or that you are a failure or have let yourself or your family down*
Not at allSeveral DaysMore than half the daysNearly every day
7. Trouble concentrating on things, such as reading the newspaper or watching television*
Not at allSeveral DaysMore than half the daysNearly every day
8. Moving or speaking so slowly that other people could have noticed. Or the opposite-being so figety or restless that you have been moving around a lot more than usual*
Not at allSeveral DaysMore than half the daysNearly every day
9. Thoughts that you would be better off dead, or of hurting yourself*
Not at allSeveral DaysMore than half the daysNearly every day
PHQ-9 Calculation*
Should be Empty: