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PHQ-9 · Standard screening questionnaire

Depression Symptoms

Reflect on mood and related symptoms over the past two weeks to support a clinical conversation.

Over the past 2 weeks, how often have you been bothered by any of the following problems?

Adult self-report · 9 items

Screening results can support a clinical conversation but cannot confirm or rule out a diagnosis on their own.

  1. Having little interest or pleasure in doing things

    Not at all / Several days / More than half the days / Nearly every day

  2. Feeling down, depressed, or hopeless

    Not at all / Several days / More than half the days / Nearly every day

  3. Having trouble falling or staying asleep, or sleeping too much

    Not at all / Several days / More than half the days / Nearly every day

  4. Feeling tired or having little energy

    Not at all / Several days / More than half the days / Nearly every day

  5. Having a poor appetite or overeating

    Not at all / Several days / More than half the days / Nearly every day

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

    Not at all / Several days / More than half the days / Nearly every day

  7. Having 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

  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

    Not at all / Several days / More than half the days / Nearly every day

  9. Having 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

How to interpret PHQ-9 scores

The total ranges from 0 to 27 and reflects depressive symptoms over two weeks. These are symptom ranges, not diagnoses.

Score / rangeWhat it meansSuggested next step
0–4 pointsNone to minimal depressive symptoms

Few depressive symptoms were reported over the past two weeks.

Keep track of your mood and discuss ongoing concerns with a clinician.
5–9 pointsMild depressive symptoms

Some depressive symptoms are present and worth monitoring.

Monitor mood, sleep and effects on daily life; consider a follow-up appointment.
10–14 pointsModerate depressive symptoms

The score reaches a commonly used threshold for further assessment.

Arrange an assessment to discuss support and treatment options.
15–19 pointsModerately severe depressive symptoms

Reported symptoms are more substantial and merit attention.

Seek assessment soon to review effects on daily life and discuss treatment.
20–27 pointsSevere depressive symptoms

The reported symptom burden is high and warrants prompt assessment.

Contact a healthcare professional promptly for assessment and care.

Any thoughts of death or self-harm on item 9 warrant timely discussion of safety and support, even with a low total. That item alone does not determine immediate danger.

Interpretation sources:PHQ / GAD developer scoring manual ↗ · Original PHQ-9 validation study ↗