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Questions

Concepts

PHQ-2

Screening Date

␣␣-␣␣-␣␣␣␣ 📆

160753 Date of event

Little interest or pleasure in doing things

🔘 Not at all

🔘 Several days

🔘 More than half the days

🔘 Nearly every day

167006 Little interest or pleasure in doing things over past two weeks

Feeling down, depressed or hopeless

🔘 Not at all

🔘 Several days

🔘 More than half the days

🔘 Nearly every day

167007 Feeling down, depressed, or hopeless over past two weeks

PHQ-9

Trouble falling asleep, staying asleep, or sleeping too much

🔘 Not at all

🔘 Several days

🔘 More than half the days

🔘 Nearly every day

167068 Trouble falling or staying asleep, or sleeping too much over past two weeks

Feeling tired or having little energy

🔘 Not at all

🔘 Several days

🔘 More than half the days

🔘 Nearly every day

167069 Feeling tired or having little energy over past two weeks

Poor appetite or overeating

🔘 Not at all

🔘 Several days

🔘 More than half the days

🔘 Nearly every day

167070 Poor appetite or overeating over past two weeks

Feeling bad about yourself - or that you’re a failure or have let yourself or your family down

🔘 Not at all

🔘 Several days

🔘 More than half the days

🔘 Nearly every day

167071 Feeling bad about yourself or that you're a failure or have let yourself or your family down

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

167072 Trouble concentrating on things such as reading the newspaper or watching television

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

167073 Moving or speaking so slowly that other people could have noticed or being so fidgety or restless that you have been moving around lot more than usual

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

167074 Thoughts that you would be better off dead or of hurting yourself in some way

PHQ-9 score obtained by adding score for each question

___________________________

165137 Patient Health Questionnaire Nine Item score

Notes

165095 General patient note

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