| RPT |
.|.|Patient Health Questionnaire - 9 (PHQ-9)||Date Given: <.Date_Given.>|Clinician: <.Staff_Ordered_By.>|Location: <.Location.>||Veteran: <.Patient_Name_Last_First.>|SSN: <.Patient_SSN.>|DOB:
dead or of hurting yourself in some way| <*Answer_3382*>|10. 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?| <*Answer_4019*>||Information contained in this note is based on a self report assessment and is not sufficient to use alone for diagnostic purposes. Assessment results
should be verified for accuracy and used in conjunction with other diagnostic activities.||Copyright 2001 Pfizer Inc.|All rights reserved. Reproduced with permission of Pfizer Inc.|PRIME-MD is a
trademark of Pfizer Inc
<.Patient_Date_Of_Birth.> (<.Patient_Age.>)|Gender: <.Patient_Gender.>|| PHQ-9 Depression Scale Score: <-PHQ9->| <*Answer_7771*> |
|The total score may range from 0 to 27.| Total Score Depression Severity| ----------- -------------------| 1-4 Minimal depression|
5-9 Mild depression| 10-14 Moderate depression| 15-19 Moderately severe depression| 20-27 Severe depression|
|Questions and Answers||Over the last 2 weeks, how often have you been bothered by any of the
following problems?|1. Little interest or pleasure in doing things| <*Answer_3374*>|2. Feeling down, depressed, or hopeless| <*Answer_3375*>|3. Trouble falling or staying asleep, or sleeping
too much| <*Answer_3376*>|4. Feeling tired or having little energy| <*Answer_3377*>|5. Poor appetite or overeating| <*Answer_3378*>|6. Feeling bad about yourself or that you are a failure or
have let yourself or your family down| <*Answer_3379*>|7. Trouble concentrating on things, such as reading the newspaper or watching television| <*Answer_3380*>|8. 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| <*Answer_3381*>|9. Thoughts that you would be better off
|
