Mailchimp Survey

Patient Health Questionnaire (PHQ)

Welcome to the Patient Health Questionnaire (PHQ)
Thank you for taking a moment to complete the PHQ. This questionnaire is designed to help you reflect on your recent feelings and experiences. Your honest responses will provide valuable insights into areas where you might benefit from additional support.
*Please note: This questionnaire is a screening tool and not a diagnostic instrument. The results are not a substitute for professional medical advice. For a comprehensive assessment, please consult a qualified healthcare provider.
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
*
0 - Not at all1 - Several days2 - More than half the days3 - Nearly every day
2. Feeling down, depressed, or hopeless
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0 - Not at all1 - Several days2 - More than half the days3 - Nearly every day
3. Trouble falling or staying asleep, or sleeping too much
*
0 - Not at all1 - Several days2 - More than half the days3 - Nearly every day
4. Feeling tired or having little energy
*
0 - Not at all1 - Several days2 - More than half the days3 - Nearly every day
5. Poor appetite or overeating
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0 - Not at all1 - Several days2 - More than half the days3 - Nearly every day
6. Feeling bad about yourself—or that you are a failure or have let yourself or your family down
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0 - Not at all1 - Several days2 - More than half the days3 - Nearly every day
7. Trouble concentrating on things, such as reading the newspaper or watching television
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0 - Not at all1 - Several days2 - More than half the days3 - Nearly every day
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
*
0 - Not at all1 - Several days2 - More than half the days3 - Nearly every day
9. Thoughts that you would be better off dead or of hurting yourself in some way
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0 - Not at all1 - Several days2 - More than half the days3 - Nearly every day
If you’re feeling overwhelmed or struggling with thoughts of suicide, please reach out. Help is just a call or text away. You don’t have to go through this alone.
Call the Suicide & Crisis Lifeline at 988 or text "HELLO" to 741741 to connect with someone who can support you right now.
Your life matters, and there’s hope. Reach out today.
* 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?
*
0 - Not difficult at all1 - Somewhat difficult2 - Very difficult3 - Extremely difficult
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x