Patient Health Questionnaire (PHQ-9)

If you have been advised by the surgery to submit a Patient Health Questionnaire Assessment (PHQ-9), please use this form.

If you are completing this as part of an Urgent Care Appointment assessment, please ensure that you make a note of your score to inform the clinician you see today. Please also ensure you tick the box that indicates it is for an UC appointment.

You can also complete a Generalised Anxiety Disorder Assessment (GAD-7) form here.

Patient Health Questionnaire (PHQ-9)

Patient Health Questionnaire (PHQ-9)

About You

Please use this date format: DD/MM/YYYY.

Review

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

Sending