Complete PHQ - 9
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BEGIN SURVEY
Little Interest or pleasure in doing things.
Several days
Nearly Every day
More than half the days
Not at all
Feeling down, depressed, or hopeless
More than half the days
Nearly Every Day
Several Days
Not at all
Trouble falling or staying asleep, or sleeping
Nearly Everyday
More than half the days
Several days
Not at all
Poor appetite or overeating
Nearly Everyday
Several Days
More than half the days
Not at all
Feeling tired or having little energy
Nearly Everyday
Several days
More than half the days
Rarely ever
Feeling bad about yourself - or that you are a failure or have to let yourself or your family down
Nearly Everyday
Several Days
More than half the days
Not at all
Trouble concentrating on things, such as reading or watching television
Nearly Everyday
Several Days
More than half the days
Not at all
Moving or speaking so slowly other people have noticed? Or the opposite - being so fidgety or restless you have been more active than usual
Nearly Everyday
Several Days
More than half the days
Not at all
Thoughts that you would be better off dead or of hurting yourself in some way
Nearly Everyday
More than half the days
Several days
Not at all
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Yes
No
