undefined

Patient Health Questionnaire

The PHQ-9, developed by Dr. Kurt Kroenke and colleagues, is a brief, self-administered questionnaire used to screen for, diagnose, and monitor the severity of depression in clinical and research settings. It is widely used by healthcare professionals to guide treatment decisions and track patient progress over time.

2 minutes to complete

Eligibility

The Patient Health Questionnaire (PHQ) can be completed by anyone seeking to assess their mental health.

Questions for Patient Health Questionnaire

Quick Navigation

Questions

1.

Little interest or pleasure in doing things

The answer should be a single choice:
  1. Not at all
  2. Several days
  3. More than half the days
  4. Nearly every day
2.

Feeling down, depressed, or hopeless

The answer should be a single choice:
  1. Not at all
  2. Several days
  3. More than half the days
  4. Nearly every day
3.

Trouble falling or staying asleep, or sleeping too much

The answer should be a single choice:
  1. Not at all
  2. Several days
  3. More than half the days
  4. Nearly every day
4.

Feeling tired or having little energy

The answer should be a single choice:
  1. Not at all
  2. Several days
  3. More than half the days
  4. Nearly every day
5.

Poor appetite or overeating

The answer should be a single choice:
  1. Not at all
  2. Several days
  3. More than half the days
  4. Nearly every day
6.

Feeling bad about yourself—or that you are a failure or have let yourself or your family down

The answer should be a single choice:
  1. Not at all
  2. Several days
  3. More than half the days
  4. Nearly every day
7.

Trouble concentrating on things, such as reading the newspaper or watching television

The answer should be a single choice:
  1. Not at all
  2. Several days
  3. More than half the days
  4. Nearly every day
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

The answer should be a single choice:
  1. Not at all
  2. Several days
  3. More than half the days
  4. Nearly every day
9.

Thoughts that you would be better off dead or of hurting yourself in some way

The answer should be a single choice:
  1. Not at all
  2. Several days
  3. More than half the days
  4. Nearly every day

Scoring

Scale Score
Not at all 0
Several days 1
More than half the days 2
Nearly every day 3

Interpretation

Score Range Interpretation
1-4 Minimal depression
5-9 Mild depression
10-14 Moderate depression
15-19 Moderately severe depression
20-27 Severe depression

Surveys Similar to Patient Health Questionnaire

  • Comprehensive Health Assessment Survey
  • Personal Medical History Form
  • Detailed Patient Wellness Questionnaire
  • Comprehensive Medical Evaluation Checklist
  • In-depth Health Status Inquiry
  • Thorough Patient Health Survey

Here are some FAQs and additional information
on
Patient Health Questionnaire

What is the PHQ-9 used for?

The PHQ-9 is used to screen for, diagnose, and monitor the severity of depression in adults.

Who can complete the PHQ-9?

Any adult can self-administer the PHQ-9, or it can be administered by a healthcare professional in clinical or research settings.

Can the PHQ-9 diagnose depression on its own?

No, the PHQ-9 is a screening tool; a clinical interview is needed for a formal diagnosis.

Want to use this template?

Testimonials

G2 BadgesG2 BadgesG2 BadgesG2 BadgesG2 Badges

What's next? Try out templates like
Patient Health Questionnaire

1000+ Templates, 50+ Categories

Want to create secure online forms and surveys?

Join BlockSurvey.

About Us

BlockSurvey is a privacy-focused platform for collecting data through forms, surveys, assessments, and quizzes. The data collection is end-to-end encrypted, and it ensures complete privacy of your audience from Big Tech. With an array of ready to use templates, it is tailored for the needs of businesses and individuals from Web 3, HR, Mental Health, Sexual Health, Activism and many sensitive areas where data collection needs protection.

SHARE