Depression Form || Mind Connect

Depression Questionnaire Form (PHQ-9)

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

Note: Input number based on your choices

Not at all - 0, Several days - 1, More than half the days - 2, Nearly every day - 3

Patient Name

Phone Number

Email Address

Little interest or pleasure in doing things

Feeling down, depressed, or hopeless

Trouble falling or staying asleep, or sleeping too much

Feeling tired or having little energy

Poor appetite or overeating

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

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

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

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

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Welcome to Mind CareConnet, where your mental well-being is our top priority. We are a team of dedicated and compassionate psychiatric practitioners committed to providing you with the highest quality mental health care.

Our Services includes but is not limited to: psychiatric evaluationsMedication managementPsychotherapyStress and anxiety managementDepression treatmentMood disordersADHD diagnosis and treatmentand more.

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