Patient Health Questionnaire – Depression (PHQ-9) Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *Age *Gender *FemaleMaleOver the last 2 weeks, how often have you been bothered by any of the following problems?You can share further information about you, your life and environment.1 – Little interest or pleasure in doing things? (0) Not at all(1) Several days(2) More than half the days(3) Nearly every day2 – Feeling down, depressed, or hopeless?(0) Not at all(1) Several days(2) More than half the days(3) Nearly every day3 – Trouble falling or staying asleep, or sleeping too much?(0) Not at all(1) Several days(2) More than half the days(3) Nearly every day4 – Feeling tired or having little energy?(0) Not at all(1) Several days(2) More than half the days(3) Nearly every day5 – Poor appetite or overeating?(0) Not at all(1) Several days(2) More than half the days(3) Nearly every day6 – Feeling bad about yourself – or that you are a failure or have let yourself or your family down?(0) Not at all(1) Several days(2) More than half the days(3) Nearly every day7 – Trouble concentrating on things, such as reading the newspaper or watching television?(0) Not at all(1) Several days(2) More than half the days(3) Nearly every day8 – 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?(0) Not at all(1) Several days(2) More than half the days(3) Nearly every day9 – Thoughts that you would be better off dead, or of hurting yourself in some way?(0) Not at all(1) Several days(2) More than half the days(3) Nearly every dayWebsiteSubmit