PHQ-9

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

If you are in crisis, call or text 988. If you are in immediate danger, call 911 or go to the nearest emergency room.

About you

Initials required. Example: Y.B.

Initials

Today’s date

Age (optional)

Next visit date

PHQ-9 items

0 = not at all. 1 = several days. 2 = more than half the days. 3 = nearly every day.

Difficulty

This item is not added to the 0–27 total.

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 home, or get along with other people?

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Your results

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PHQ-9 is a severity screen. It is not a diagnosis. A clinician still has to interview you.