(PHQ-9) – Overview

    Address: 170 State Street, Brooklyn, NY 11201

    Phone: +1 (347)966-5364

    Email: info@rakipipsychologicalservices.com

    Sefedin Rakipi, Psy. D.
    Clinical Psychologist

    The Patient Health Questionnaire (PHQ-9)

    Patient Name:

    Date of Visit:

    Over the past 2 weeks, how often haveyou been bothered by any of the following problems?

    Not at all
    0

    Several days
    1

    More than half the days
    2

    Nearly every day
    3

    1. Little interest or pleasure in doing things

    2. Feeling down, depressed, or hopeless

    3. Trouble falling asleep, 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

    Column Totals


    +

    +

    +

    Add Totals Together

    10. 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?

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