PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
NAME:
Over the last 2 weeks, how often have you been bothered by any of the following problems? (use "ⁿ" to indicate your answer)

DATE:
Several days
1 1 1 1 1 1 1

Not at all
0 0 0 0 0 0 0

More than Nearly half the every day days
2 2 2 2 2 2 2 3 3 3 3 3 3 3

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 figety or restless that you have been moving around a lot more than usual 9. Thoughts that you would be better off dead, or of hurting yourself

0

1

2

3

0 add columns

1 +

2 +

3

(Healthcare professional: For interpretation of TOTAL, TOTAL: please refer to accompanying scoring card).

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?

Not difficult at all Somewhat difficult Very difficult Extremely difficult

Copyright 1999 Pfizer Inc. All rights reserved. Reproduced with permission. PRIME-MD is a trademark of Pfizer Inc. A2663B 10-04-2005

PHQ-9 Patient Depression Questionnaire
For initial diagnosis:
1. Patient completes PHQ-9 Quick Depression Assessment. disorder. Add score to determine severity.

2. If there are at least 4 s in the shaded section (including Questions #1 and #2), consider a depressive Consider Major Depressive Disorder
- if there are at least 5 s in the shaded section (one of which corresponds to