PHQ-9 – Harmless Forms

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Little interest or pleasure in doing things.

0 - Not at all 1 - Several Days 2 - More Than Half The Days 3 - Nearly Every Day

Feeling down, depressed or hopeless.

0 - Not at all 1 - Several Days 2 - More Than Half The Days 3 - Nearly Every Day

Trouble falling or staying asleep, or sleeping too much.

0 - Not at all 1 - Several Days 2 - More Than Half The Days 3 - Nearly Every Day

Feeling tired or having little energy.

0 - Not at all 1 - Several Days 2 - More Than Half The Days 3 - Nearly Every Day

Poor appetite or overeating.

0 - Not at all 1 - Several Days 2 - More Than Half The Days 3 - Nearly Every Day

Feeling bad about yourself- or that you are a failure or have let yourself or your family down.

0 - Not at all 1 - Several Days 2 - More Than Half The Days 3 - Nearly Every Day

Trouble concentrating on things, such as reading the newspaper or watching television.

0 - Not at all 1 - Several Days 2 - More Than Half The Days 3 - Nearly Every Day

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 all 1 - Several Days 2 - More Than Half The Days 3 - Nearly Every Day

Thoughts that you would be better off dead or of hurting yourself in some way.

0 - Not at all 1 - Several Days 2 - More Than Half The Days 3 - Nearly Every Day