PHQ-9 This assessment consists of 10 questions and should take less than 5 minutes to complete. Patient MBC ID: How often have you been bothered by the following over the past 2 weeks? Little interest or pleasure in doing things — Please Select —Not at allSeveral DaysMore than half the daysNearly every day Feeling down, depressed, or hopeless — Please Select —Not at allSeveral DaysMore than half the daysNearly every day Trouble falling or staying asleep, or sleeping too much — Please Select —Not at allSeveral DaysMore than half the daysNearly every day Feeling tired or having little energy — Please Select —Not at allSeveral DaysMore than half the daysNearly every day Poor appetite or overeating — Please Select —Not at allSeveral DaysMore than half the daysNearly every day Feeling bad about yourself or that you are a failure or have let yourself or your family down — Please Select —Not at allSeveral DaysMore than half the daysNearly every day Trouble concentrating on things, such as reading the newspaper or watching television — Please Select —Not at allSeveral DaysMore than half the daysNearly every day 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 — Please Select —Not at allSeveral DaysMore than half the daysNearly every day Thoughts that you would be better off dead, or of hurting yourself — Please Select —Not at allSeveral DaysMore than half the daysNearly every day 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? — Please Select —Not difficult at allSomewhat difficultVery difficultExtremely difficult
