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Instructions: Over The Last 7 Days, How Often Have You Been Bothered by Any of The Following Problems?

The document is a 9-item questionnaire called the PHQ-9 that assesses the severity of depressive symptoms over the past 7 days. It asks individuals to rate how often they have been bothered by 9 problems on a scale from 0 to 3. The clinician reviews each item score during an interview and sums the raw scores to obtain a total between 0 and 27, with higher scores indicating greater depression severity. Scores are interpreted using a table to determine if symptoms are none, mild, moderate, moderately severe, or severe depression.

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Paul Benavidez
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97 views2 pages

Instructions: Over The Last 7 Days, How Often Have You Been Bothered by Any of The Following Problems?

The document is a 9-item questionnaire called the PHQ-9 that assesses the severity of depressive symptoms over the past 7 days. It asks individuals to rate how often they have been bothered by 9 problems on a scale from 0 to 3. The clinician reviews each item score during an interview and sums the raw scores to obtain a total between 0 and 27, with higher scores indicating greater depression severity. Scores are interpreted using a table to determine if symptoms are none, mild, moderate, moderately severe, or severe depression.

Uploaded by

Paul Benavidez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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PHQ - 9

Name: ______________________________________ Sex: ____

Birthdate: _______________________ Date of Testing: _______________

Instructions: Over the last 7 days, how often have you been bothered by any of the following problems?
Indicate a check ( / ) in the box which corresponds your answer.

Not at Several More than Nearly


all Days half the days everyday
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
fidgety 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 in some way

PHQ-9 Page 1 of 1
PHQ-9
Instructions to Clinicians

The Severity Measure for Depression—Adult (adapted from the Patient Health Questionnaire–9 [PHQ-
9]) is a self-rated 9-item measure that assesses the severity of depressive symptoms in individuals age
18 and older. The measure is completed by the individual prior to a visit with the clinician. Each item
asks the individual to rate the severity of his/her depression during the last 7 days.

Scoring and Interpretation

Each item on the measure is rated on a 4-point scale (0=Not at all; 1=Several days; 2=More than half the
days; and 3=Nearly every day). The total score can range from 0 to 27, with higher scores indicating
greater severity of depression. The clinician is asked to review the score of each item on the measure
during the clinical interview and indicate the raw score for each item in the section provided for
“Clinician Use.” The raw scores on the 9 items should be summed to obtain a total raw score and should
be interpreted using the Interpretation Table for the PHQ-9 below:

Severity of Depressive Symptoms PHQ-9 Score


None 0-4
Mild Depression 5-9
Moderate Depression 10-14
Moderately severe depression 15-19
Severe Depression 20-27

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