The Patient Health Questionnaire
Depression Test

Health Questionnaire

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Over the past 2 weeks, how often have you been bothered by any of the following problems?
1. Little interest or pleasure in doing thing Not at all Several days More then half the days Nearly every day
2. Feeling down, depressed or hopeless Not at all Several days More then half the days Nearly every day
3. Trouble sleeping, staying asleep, or sleeping too much Not at all Several days More then half the days Nearly every day
4. Feeling tired or having little energy Not at all Several days More then half the days Nearly every day
5. Poor appetite or overeating Not at all Several days More then half the days Nearly every day
6. Poor or no self-esteem - you're a failure or have let yourself or your family down Not at all Several days More then half the days Nearly every day
7. Trouble concentrating routine activities Not at all Several days More then half the days Nearly every day
8. Moving or speaking slowly, feeling fidgety or restless Not at all Several days More then half the days Nearly every day
9. Suicidal thoughts or thoughts of hurting yourself Not at all Several days More then half the days Nearly every day
10. Have any of the checked off problems above made it difficult for you to work, take care of things at home, or along with other people? Not difficult at all Not difficult At All Somewhat Difficult Very Difficult Extremely Difficult

Contact Information

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