Patient Health Questionnaire


Depression Screening

The following questions will help us to determine if you qualify for additional support services and are not intended to diagnose or treat any specific condition.

If you prefer to not answer these questions click here to opt-out.

Little interest or pleasure in doing things

Feeling down, depressed, or hopeless

Trouble falling or staying asleep, or sleeping too much

Feeling tired or having little energy

Poor appetite or overeating

Feeling bad about yourself — or that you are a failure or have let yourself or your family down

Trouble concentrating on things, such as reading the newspaper or watching television

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

Thoughts that you would be better off dead or of hurting yourself in some way



Submit



Thank you for taking the time to complete this review.