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Patient Health Questionnaire (PHQ-9)
PHQ-9 Free Draw
Over the last 2 weeks, how often have you been bothered by any of the following problems?
1. Little interest or pleasure in doing things
2. 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
9. Thoughts that you would be better off dead, or of hurting yourself in some way
Total Sum of 1 - Several days
Total Sum of 2 - More than half the days
Total Sum of 3 - Nearly every day
Total (add Total Sum of 1, 2 & 3)
Interpretation of Total Score
10. If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at h

IMG PHQ-9 Medical Form

General Practice

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Published: Aug. 7, 2023, 4:44 p.m.
Doctor: Dr. History Physical
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Sunnyvale, CA 94089

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