James Fitzgerald Therapy, PLLC James Fitzgerald, MS, NCC, AAP, Psychotherapist Strengthening Your Conscious Self © 2022 Client Intake: Assessments Patient Health Questionnaire (PHQ-9) Please enable JavaScript in your browser to complete this form.LayoutUser ID #Today's DateOver the last 2 weeks, how often have you been bothered by any of the following problems?Little interest or pleasure in doing things0 - Not at all1 - Several days2 - More than 1/2 the days3 - Most daysFeeling down, depressed or hopeless0 - Not at all1 - Several days2 - More than 1/2 the days3 - Most daysTrouble falling or staying asleep, or sleeping too much0 - Not at all1 - Several days2 - More than 1/2 the days3 - Most daysFeeling tired or having little or no energy0 - Not at all1 - Several days2 - More than 1/2 the days3 - Most daysPoor appetite or binges/overeating0 - Not at all1 - Several days2 - More than 1/2 the days3 - Most daysFeeling bad about yourself or that you are a failure or have let yourself or your family down0 - Not at all1 - Several days2 - More than 1/2 the days3 - Most daysTrouble concentrating on things, such as reading the newspaper or watching television0 - Not at all1 - Several days2 - More than 1/2 the days3 - Most daysMoving 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 - Not at all1 - Several days2 - More than 1/2 the days3 - Most daysThoughts that you would be better off dead, or of hurting yourself0 - Not at all1 - Several days2 - More than 1/2 the days3 - Most daysIf 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 allSomewhat difficultVery difficultExtremely difficultScoringThis assessment does not constitute a diagnosis, and should not be construed as such. Since the questionnaire relies on self-report, all responses will be verified by your clinician, and a definitive diagnosis will be made on clinical grounds taking into account how well you understood the questionnaire, as well as other relevant information from you. Submit