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PHQ-9

Patient Name
Little interest or pleasure in doing things
Not at all
Several days
More than half days
Nearly every day
Feeling down, depressed or hopeless
Not at all
Several days
More than half days
Nearly every day
Trouble falling asleep, staying asleep, or sleeping too much
Not at all
Several days
More than half days
Nearly every day
Feeling tired or having little energy
Not at all
Several days
More than half days
Nearly every day
Poor appetite or overeating
Not at all
Several days
More than half days
Nearly every day
Trouble concentrating on things, such as reading the newspaper or watching television
Not at all
Several days
More than half days
Nearly every day
Moving or speaking so slowly that other people could have noticed. Or, the opposite - being so dgety or restless that you have been moving around a lot more than usual
Not at all
Several days
More than half days
Nearly every day
Thoughts that you would be better off dead or of hurting yourself
Not at all
Several days
More than half days
Nearly every day
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