Patients health questionnaire (PHQ-9)

Name Required

NHS number Required

Date of birth Required

Group / course name Required

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

Little interest or pleasure in doing things Required

Feeling down, depressed or hopeless Required

Trouble falling or staying asleep or sleeping too much Required

Feeling tired or having little energy Required

Poor appetite or overeating Required

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

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

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 Required

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

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