Depression Questionnaire

This easy to use patient questionnaire has been validated for use in Primary Care.

It is used by your doctor to monitor the severity of depression and response to treatment.

It can also be used to make a tentative diagnosis of depression.

PHQ-9 Depression Assessment Questionnaire

Contact Details

Address *
Address
City
State/Province
Zip/Postal
Country

Questionnaire -Over the last two weeks, how often have you been bothered by any of the following problems?

Little interest or pleasure in doing things
Feeling down, depressed, or hopeless
Trouble falling or staying asleep, or sleeping too much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself, or that you are a failure or have let yourself or your family down
Trouble concentrating on things, such as reading the newspaper or watching television
Thoughts that you would be better off dead, or of hurting yourself in some way
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

Finally

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?