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Whitnash Medical Centre Providing NHS services
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Home > Patient Health Questionnaire (PHQ-9)

Patient Health Questionnaire (PHQ-9)

Your Details

DD/MM/YYYY
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Your Contact Details

Over the last 2 weeks, how often have you been bothered by any of the following problems?
Over the last 2 weeks, how often have you had little interest or pleasure in doing things
Over the last 2 weeks, how often have you felt down, depressed, or hopeless
Over the last 2 weeks, how often have you had trouble falling/staying asleep, sleeping too much
Over the last 2 weeks, how often have you been feeling tired or having little energy
Over the last 2 weeks, how often have you had poor appetite or been overeating
Over the last 2 weeks, how often have you been feeling bad about yourself or that you are a failure or have let yourself or your family down
Over the last 2 weeks, how often have you had trouble concentrating on things, such as reading the newspaper or watching television.
Over the last 2 weeks, how often have you experienced 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.
Over the last 2 weeks, how often have you had thoughts that you would be better off dead or of hurting yourself in some way.

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Whitnash Medical Centre

110 Coppice Road , Whitnash, Warwickshire, CV31 2LT

  • 01926 316711
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