PHQ-9 PDF: Printable Questionnaire (Free)

Patient Health Questionnaire-9 (PHQ-9)

Name ____________________   Date ____________

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	0	1	2	3
2. Feeling down, depressed, or hopeless	0	1	2	3
3. Trouble falling or staying asleep, or sleeping too much	0	1	2	3
4. Feeling tired or having little energy	0	1	2	3
5. Poor appetite or overeating	0	1	2	3
6. Feeling bad about yourself — or that you are a failure or have let yourself or your family down	0	1	2	3
7. Trouble concentrating on things, such as reading the newspaper or watching television	0	1	2	3
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	0	1	2	3
9. Thoughts that you would be better off dead or of hurting yourself in some way	0	1	2	3

Total score: ______ of 27   (circle one number per row, then add them up)

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

0‑4: none to minimal · 5‑9: mild depression · 10‑14: moderate depression · 15‑19: moderately severe depression · 20‑27: severe depression. This is a screening, not a diagnosis.

Any answer above 0 on question 9: please talk to someone today. In the US and Canada, call or text 988; in danger, call 911 or your emergency number.

Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.

Form from phqscreeners.com (PHQ-9, English) · quietarium.com