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PHQ-9 and GAD-7 Assessment

This questionnaire helps assess symptoms of depression and anxiety.
Over the last 2 weeks, how often have you been bothered by any of the following problems?

Patient Identification

Please provide your basic information

PHQ-9: Depression Screening

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
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
7. Trouble concentrating on things, such as reading
8. Moving or speaking so slowly or the opposite
9. Thoughts that you would be better off dead

GAD-7: Anxiety Screening

Over the last 2 weeks, how often 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 that it is hard to sit still
6. Becoming easily annoyed or irritable
7. Feeling afraid as if something awful might happen