PHQ-A

Over the last 2 weeks, how often have you been bothered by any of the following problems?

1. 1

   Little interest or pleasure in doing things

   0Not at all1Several days2More than half the days3Nearly every day
2. 2

   Feeling down, depressed, hopeless, or irritable

   0Not at all1Several days2More than half the days3Nearly every day
3. 3

   Trouble falling asleep, staying asleep, or sleeping too much

   0Not at all1Several days2More than half the days3Nearly every day
4. 4

   Feeling tired or having little energy

   0Not at all1Several days2More than half the days3Nearly every day
5. 5

   Poor appetite, weight loss, or overeating

   0Not at all1Several days2More than half the days3Nearly every day
6. 6

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

   0Not at all1Several days2More than half the days3Nearly every day
7. 7

   Trouble concentrating on things like school work, reading, or watching TV

   0Not at all1Several days2More than half the days3Nearly every day
8. 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

   0Not at all1Several days2More than half the days3Nearly every day
9. 9

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

   0Not at all1Several days2More than half the days3Nearly every day