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Depression Assessment

The Patient Health Questionnaire-9 (PHQ-9) is a multipurpose instrument for screening, diagnosing, monitoring, and measuring the severity of depression.

Personal Information

Your Name

Sex

Male Female

Date of Birth

Address

Assessment Test

Over the last 2 weeks, how often have you been bothered by any of the following problems?
Little interest or pleasure in doing things Not at all Several days More than half the days Nearly every day
Feeling down, depressed, or hopeless Not at all Several days More than half the days Nearly every day
Trouble falling or staying asleep, or sleeping too much Not at all Several days More than half the days Nearly every day
Feeling tired or having little energy Not at all Several days More than half the days Nearly every day
Poor appetite or overeating Not at all Several days More than half the days Nearly every day
Feeling bad about yourself — or that you are a failure or have let yourself or your family down Not at all Several days More than half the days Nearly every day
Trouble concentrating on things, such as reading the newspaper or watching television Not at all Several days More than half the days 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 Not at all Several days More than half the days Nearly every day
Thoughts that you would be better off dead or of hurting yourself in some way Not at all Several days More than half the days Nearly every day

Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.