Screening Tool for Depression (PHQ-9)

If you have been advised by the surgery to submit a Screening Tool for Depression (PHQ-9) please use this form.

Screening Tool for Depression (PHQ-9)

Please do not submit this form unless you have been asked to do so by the surgery. 

About You

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.


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

Please answer the following questions using the following scale: 0 - never avoid it, 2- slightly avoid it, 4 - definitely avoid it, 6 - markedly avoid it, 8 - always avoid it