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PHQ-9 (Depression Screening)
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1. Little interest or pleasure in doing things.
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2. Feeling down, depressed, or hopeless.
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3. Trouble falling, staying asleep, or too much.
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4. Feeling tired or having little energy.
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5. Poor appetite or overeating.
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6. Feeling bad about yourself or like a failure.
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7. Trouble Concentrating.
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8. Moving slowly OR more fidgeting than normal.
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9. Thoughts of death or hurting self.
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Total Score of PHQ-9 (27 total possible)
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Additional Information (FREE TEXT)
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Pediatric Symptom Checklist
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1. Complains of aches and pains.
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2. Spends more time alone
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3. Tires easily, has little energy
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4. Fidgety, unable to sit still
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5. Has trouble with teacher
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6. Less interested in school
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7. Acts as if driven by a motor
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8. Daydreams too much
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9. Distracted easily
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10. Is afraid of new situations
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11. Feels sad, unhappy
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12. Is irritable, angry
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13. Feels hopeless
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14. Has trouble concentrating
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15. Less interest in friends
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16. Fights with other children
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17. Absent from school
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18. School grades dropping
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19. Is down on himself/herself
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20. Visits the doctor with doctor finding nothing wrong
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21. Has trouble sleeping
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22. Worries a lot
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23. Wants to be with you more than before.
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24. Feels he or she is bad.
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25. Takes unnecessary risks.
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26. Gets hurt frequently.
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27. Seems to be having less fun.
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28. Acts younger than children his or her age.
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29. Does not listen to rules.
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30. Does not show feelings.
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31. Does not understand other people’s feelings.
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32. Teases others.
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33. Blames others for his or her troubles.
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34. Takes things that do not belong to him or her.
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35. Refuses to share.
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Total Score of PSC (70 total possible)
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