Follow-Up Assessment

PHQ-9 — Depression Assessment

A validated 9-item clinical tool for measuring depression severity over the past two weeks.

Used so Dr. Nicole can follow up with you.

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

Question
Not at all
(0)
Several days
(1)
More than half
(2)
Nearly every day
(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 or watching television
8. Moving or speaking so slowly that others could have noticed — or being so fidgety or restless you've been moving more than usual
9. Thoughts that you would be better off dead, or of hurting yourself in some way
Scoring Guide (clinician reference)
1–4Minimal depression
5–9Mild depression
10–14Moderate depression
15–19Moderately severe depression
20–27Severe depression

PHQ-9 © 1999 Pfizer Inc. All rights reserved. PRIME-MD is a trademark of Pfizer Inc.

You’ll be able to download or print your own copy after submitting.

✅  Assessment submitted successfully. Thank you.

Save this copy for your own records. Your submission has also been sent securely to Dr. Nicole.