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Phq9 Printable

Phq9 Printable - (use “ ” to indicate your answer) 1. Feeling bad about yourself or that you are a failure or have let yourself or your family down. Multiply that number by the value indicated below, then add the subtotal to produce a total score. Little interest or pleasure in doing things. Trouble falling or staying asleep, or sleeping too much. Add score to determine severity. Over the last 2 weeks, how often have you been bothered by any of the following problems? Over the last 2 weeks, how often have you been bothered by any of the following problems? Feeling down, depressed, or hopeless. If there are at least 4 3s in the shaded section (including questions #1 and #2), consider a depressive disorder.

Little interest or pleasure in doing things 2. _____ date:_____ over the last 2 weeks, how often have you been bothered by any of the following problems? Over the last 2 weeks, how often have you been bothered by any of the following problems? Feeling down, depressed, or hopeless. Feeling tired or having little energy. Normal range or full remission. (use “ ” to indicate your answer) 1. Count the number (#) of boxes checked in a column. Thoughts that you would be better off dead or of hurting yourself in some way. Interpret the score by using the guide listed below.

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PATIENT HEALTH QUESTIONNAIRE (PHQ9)

Williams, Kurt Kroenke, And Colleagues, With An Educational Grant From Pfizer Inc.

• of the 9 items, 5 or more are checked as at least ‘more than half the days’ • either item 1 or 2 is checked as at least ‘more than half the days’ other depressive syndrome is suggested if: Multiply that number by the value indicated below, then add the subtotal to produce a total score. Trouble falling or staying asleep, or sleeping too much. Interpret the score by using the guide listed below.

Normal Range Or Full Remission.

Little interest or pleasure in doing things 2. Support, educate, call if worse, return in 1 month. Feeling tired or having little energy. Thoughts that you would be better off dead or of hurting yourself in some way.

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Count the number (#) of boxes checked in a column. 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? If there are at least 4 3s in the shaded section (including questions #1 and #2), consider a depressive disorder. Little interest or pleasure in doing things.

_____ Date:_____ Over The Last 2 Weeks, How Often Have You Been Bothered By Any Of The Following Problems?

The score suggests the patient may not need depression treatment. (use “ ” to indicate your answer) 1. Over the last 2 weeks, how often have you been bothered by any of the following problems? Add score to determine severity.

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