The questionnaire below is called the PHQ-9. If you would like to fill it out, it will help you recognize some of the changes you may be experiencing/feeling. This questionnaire will not diagnose you, but you may want to speak with a health care provider about the results.

To maintain your confidentiality your answers to the questionnaire are not stored and will only be seen by you.

PHQ-9 Patient Health Questionaire


Over the last 2 weeks, how often have you been bothered

by any of the following problems?

Not at all Several Days More than half the days Nearly every day
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 hurting yourself in some way

10) 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

PHQ-9 is adapted from PRIME MD TODAY, developed by Drs Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke, and colleagues, with an educational grant from Pfizer Inc. For research information, contact Dr Spitzer at rls8@columbia.edu. Use of the PHQ-9 may only be made in accordance with the Terms of Use available at www.pfizer.com. Copyright ©1999 Pfizer Inc. All rights reserved. PRIME MD TODAY is a trademark of Pfizer Inc.