Patient Health Questionnaire – (PHQ-9)
    INSTRUCTIONS

    Over the last 2 weeks, how often have you been bothered by any of the following problems?

    1. Not at allSeveral daysMore than half the daysNearly every day

    2. Not at allSeveral daysMore than half the daysNearly every day

    3. Not at allSeveral daysMore than half the daysNearly every day

    4. Not at allSeveral daysMore than half the daysNearly every day

    5. Not at allSeveral daysMore than half the daysNearly every day

    6. Not at allSeveral daysMore than half the daysNearly every day

    7. Not at allSeveral daysMore than half the daysNearly every day

    8. Not at allSeveral daysMore than half the daysNearly every day

    9. Not at allSeveral daysMore than half the daysNearly every day

    1. Not difficult at allSomewhat difficultVery difficultExtremely difficult

    * Required