Tell us whether you accept cookies

We've put some small files called cookies on your device to make our site work. We would also like to use analytical cookies to understand how our site is used and improve user experience. Analytical cookies send information to Google Analytics.

Let us know your preference. We will use a cookie to save your choice. Before you make your choice you can read more about our cookie policy.

Skip to main content

Preston Park Surgery NHS GP Surgery in Brighton

Patient Health Questionnaire (PHQ-9)

Patient Health Questionnaire (PHQ-9)

Section

Review – Part 1 (PHQ-9)

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

Little interest or pleasure in doing things: *

Not at all

Several days

More than half the days

Nearly every day

Feeling down, depressed, or hopeless: *

Not at all

Several days

More than half the days

Nearly every day

Trouble falling or staying asleep, or sleeping too much: *

Not at all

Several days

More than half the days

Nearly every day

Feeling tired or having little energy: *

Not at all

Several days

More than half the days

Nearly every day

Poor appetite or overeating: *

Not at all

Several days

More than half the days

Nearly every day

Feeling bad about yourself — or that you are a failure or have let yourself or your family down: *

Not at all

Several days

More than half the days

Nearly every day

Trouble concentrating on things, such as reading the newspaper or watching television: *

Not at all

Several days

More than half the days

Nearly 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: *

Not at all

Several days

More than half the days

Nearly every day

Thoughts that you would be better off dead or of hurting yourself in some way: *

Not at all

Several days

More than half the days

Nearly every day

Over the last week I made plans to end my life *

Not at all

Occasionally

Sometime

Often

Most/All of the time

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? *

Not difficult at all

Somewhat difficult

Very difficult

Extremely difficult

Review – Part 2 (GAD-7)

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

Feeling nervous, anxious, or on edge *

Not at all

Several days

More than half the days

Nearly every day

Not being able to stop or control worrying *

Not at all

Several days

More than half the days

Nearly every day

Worrying too much about different things *

Not at all

Several days

More than half the days

Nearly every day

Trouble relaxing *

Not at all

Several days

More than half the days

Nearly every day

Being so restless that it’s hard to sit still *

Not at all

Several days

More than half the days

Nearly every day

Becoming easily annoyed or irritable *

Not at all

Several days

More than half the days

Nearly every day

Feeling afraid as if something awful might happen *

Not at all

Several days

More than half the days

Nearly 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? *

Not at all

Somewhat difficult

Very difficult

Extremely difficult

*

I confirm that the information provided is accurate to the best of my knowledge

If you are human, leave this field blank.

Sending

Preston Park Surgery
2a Florence Road
Brighton
East Sussex
BN1 6DP

Get directions

01273 559601

About the surgery

Register with the surgery

Sick (fit) notes

Feedback and complaints

© Silicon Practice

Accessibility statement

Website policies