**Medical Disclaimer**: This is the standard PHQ-9 screening tool provided for educational and reference purposes only. It supports, but does not replace, professional clinical judgment. Interpret scores and act on results only within a full clinical assessment. ### Patient Health Questionnaire-9 (PHQ-9) **Over the last 2 weeks, how often have you been bothered by any of the following problems?** *(Use “✓” to indicate your answer for each item.)* | Not at all | Several days | More than half the days | Nearly every day | |------------|--------------|--------------------------|------------------| | 0 | 1 | 2 | 3 | 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 **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? - Not difficult at all - Somewhat difficult - Very difficult - Extremely difficult --- **Scoring (for clinician reference)**: Add the numbers from items 1–9 for the total score (0–27). - 0–4: Minimal depression - 5–9: Mild depression - 10–14: Moderate depression - 15–19: Moderately severe depression - 20–27: Severe depression **Developed by** Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.