PHQ / GAD Mental Health Questionnaire

Patient Health Questionnaire (PHQ)

Answer the questions below based on the last 2 weeks. On how many days have you been bothered by any of the following problems?

1. Little interest or pleasure in doing things?

2. Feeling down, depressed, or hopeless?

3. Trouble falling or staying asleep, or sleeping too much?

4. Feeling tired or having little energy?

5. Poor appetite or overeating?

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

7. Trouble concentrating on things, such as reading the newspaper or watching television?

8. Moving or speaking so slowly that other people could have noticed? Or so fidgety or restless that you have been moving a lot more than usual?

9. Thoughts that you would be better off dead, or thoughts of hurting yourself in some way?


Generalised Anxiety Disorder (GAD)

Answer the questions below based on the last 2 weeks. On how many days have you been bothered by any of the following problems?

1. Feeling nervous, anxious, or on edge?

2. Not being able to stop or control worrying?

3. Worrying too much about different things?

4. Trouble relaxing?

5. Being so restless it is hard to sit still?

6. Becoming easily annoyed or irritable?

7. Feeling afraid as if something aweful might happen?

So your doctor will can find your answers