100% found this document useful (1 vote)
531 views1 page

Mood Assessment & PHQ-9

Hello, I'm a student trying to gain research on "the relationship between aerobic exercise and cognitive development" If you attend to any sort of aerobic training, for instance running, cycling, swimming. it would be very helpful if you could take the time to fill out this multiple choice questionnaire which measures anxiety. If you could fill it out and email  it back to Mattashford0201@hotmail.co.uk it would be greatly appreciative. thank you in advance Matt

Uploaded by

Matt Ashford
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
100% found this document useful (1 vote)
531 views1 page

Mood Assessment & PHQ-9

Hello, I'm a student trying to gain research on "the relationship between aerobic exercise and cognitive development" If you attend to any sort of aerobic training, for instance running, cycling, swimming. it would be very helpful if you could take the time to fill out this multiple choice questionnaire which measures anxiety. If you could fill it out and email  it back to Mattashford0201@hotmail.co.uk it would be greatly appreciative. thank you in advance Matt

Uploaded by

Matt Ashford
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

Date: _________

Gender: Male Female

Mood Assessment & PHQ-9

Below please choose the answers which appropriately sum up how you have felt over the previous two weeks.

Questions

Not at all

Several days

More than half the days 2

Nearly every day

0 How often have you had little pleasure or interest in doing things? How often have you by feeling down, depressed or hopeless? How often have you been bothered by trouble falling or staying asleep, or sleeping too much? How often have you been bothered by feeling tired or having little energy? How often have you been bothered by poor appetite or overeating? How often have you been bothered by feeling bad about yourself, or that you are a failure, or have let yourself or your family down? How often have you been bothered by trouble concentrating on things, such as reading the newspaper or watching the television? How often have you been bothered by 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? Have you had an anxiety attack? (suddenly feeling fear or panic) How often have you been bothered by feeling nervous, anxious or on edge? How often have you been bothered by not being able to stop or control worrying? How often have you been bothered by worrying too much about different things? How often have you been bothered by having trouble relaxing? How often have you been bothered by being so restless it is hard to sit still? How often have you been annoyed by becoming easily annoyed or irritable? How often have you been bothered by feeling afraid as if something bad is going to happen? If this questionnaire has highlighted 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? Have you been bothered by worrying about any of the following? Your health Your weight or how you look Little or no sexual desire or pleasure during sex Difficulties with your partner The stress of taking care of family members

Yes

No

Not at all Somewhat Very

Extremely

Stress at work, school or outside home By financial problems or worries Having no one to turn to Something bad that happened recently None of the above

You might also like