Getting Started

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

Full Name(Required)

Email(Required)

Phone Number(Required)

1) How often have you had little interest or pleasure in doing things?(Required)

Not at all

Several days

More than half the days

Nearly every day

2) Feeling down, depressed, or hopeless(Required)

Not at all

Several days

More than half the days

Nearly every day

3) Trouble falling or staying asleep, or sleeping too much(Required)

Not at all

Several days

More than half the days

Nearly every day

4) Feeling tired or having little energy(Required)

Not at all

Several days

More than half the days

Nearly every day

5) Poor appetite or overeating(Required)

Not at all

Several days

More than half the days

Nearly every day

6) Feeling bad about yourself or that you are a failure or have let yourself or your family down(Required)

Not at all

Several days

More than half the days

Nearly every day

7) Trouble concentrating on things, such as reading the newspaper or watching television(Required)

Not at all

Several days

More than half the days

Nearly every day

8) Moving or speaking so slowly that other people could have noticed. Or the opposite being so figety or restless that you have been moving around a lot more than usual(Required)

Not at all

Several days

More than half the days

Nearly every day

9) Thoughts that you would be better off dead, or of hurting yourself(Required)

Not at all

Several days

More than half the days

Nearly every day

10) If 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?(Required)

Not at all

Several days

More than half the days

Nearly every day

*Scores are based on the responses given and indicate depressive symptom severity and anxiety symptom severity.

Scoring is as follows: Not at all = 0, Several days = 1, More than half the days = 2, Nearly every day = 3.

Your journey starts here! Lets know more about you.

Patient Health Questionnaire