Patient Health Questionaire (PHQ-9) Over the last 2 weeks, how often have you been bothered by any of the following problems? (Checked ALL the boxes below to indicate your answer) Please enable JavaScript in your browser to complete this form.Full Name *FirstLastEmail *Phone Number *1. Little interest or pleasure in doing things *Not At All - $ 0.00Several Days - $ 1.00More than half the days - $ 2.00Nearly every day - $ 3.002. Feeling down, depressed, or hopeless *Not At All - $ 0.00Several Days - $ 1.00More than half the days - $ 2.00Nearly every day - $ 3.003. Trouble falling or staying asleep, or sleeping too much *Not At All - $ 0.00Several Days - $ 1.00More than half the days - $ 2.00Nearly every day - $ 3.004. Feeling tired or having little energy *Not At All - $ 0.00Several Days - $ 1.00More than half the days - $ 2.00Nearly every day - $ 3.005. Poor appetite or overeating *Not At All - $ 0.00Several Days - $ 1.00More than half the days - $ 2.00Nearly every day - $ 3.006. Feeling bad about yourself or that you are a failure or have let yourself or your family down *Not At All - $ 0.00Several Days - $ 1.00More than half the days - $ 2.00Nearly every day - $ 3.007. Trouble concentrating on things, such as reading the newspaper or watching television *Not At All - $ 0.00Several Days - $ 1.00More than half the days - $ 2.00Nearly every day - $ 3.008. 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 - $ 0.00Several Days - $ 1.00More than half the days - $ 2.00Nearly every day - $ 3.009. Thoughts that you would be better off dead, or of hurting yourself *Not At All - $ 0.00Several Days - $ 1.00More than half the days - $ 2.00Nearly every day - $ 3.00Total$ 0.0010. 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 allSomewhat difficultVery difficultExtremely difficultEnter Scores *Email *PhoneSubmit