PHQ-9 / GAD-7

Patient name
Date:

A. Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all (0) Several days (1) More than half the days (2) Nearly every day (3)
Q1. Little interest or pleasure in doing things
Q2. Feeling nervous, anxious or on edge
Q3. Feeling down, depressed, or hopeless
Q4. Not being able to stop or control worrying
Q5. Trouble falling or staying asleep, or sleeping too much
Q6. Worrying too much about different things
Q7. Feeling tired or having little energy
Q8. Trouble relaxing
Q9. Poor appetitie or overeating
Q10. Being so restless that it is hard to sit still
Q11. Feeling bad about yourself or that you are a failure or have let yourself or your family down
Q12. Becoming easily annoyed or irritable
Q13. Trouble concentrating on things, such as reading the newspaper or watching television
Q14. Felling afraid as if something awful might happen
Q15. 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
Q16. Thoughts that you would be better off dead, or of hurting yourself in some way

B. 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? Not difficult at all Somewhat difficult Very difficult Extremely difficult

PHQ-9 GAD-7


Instructions - How to Score the PHQ-9   (Questions Q1, Q3, Q5, Q7, Q9, Q11, Q13, Q15, Q16)

Major depressive disorder is suggested if:

  • of the 9 items, 5 or more are checked as at least 'more than half the days'
  • either Q1 or Q3 is positive, that is at least 'more than half the days'

Other depressive syndrome is suggested if:

  • of the 9 items, 2 to 4 are checked as at least 'more than half the days'
  • either item Q1 or Q3 is positive, that is, at least 'more than half the days'

Also, PHQ-9 scores can be used to plan and monitor treatment.     Interpret the score by using the guide listed below.


PHQ-9 Score     Action
0-4 The score suggests the patient may not need depression treatment
5-9 Minimal symptoms.   Support, educate to call if worse, return in 1 month
10-14 Mild major depressive disorder.   Physician uses clinical judgement about treatment (antidepressant OR psychotherapy), based on patient's duration of symptoms (>= one month) and functional impairment (severe)
15-19 Moderate major depressive disorder.   Warrants treatment for depression, using antidepressant OR psychotherapy
20 or higher Severe major depressive disorder.   Warrants treatment with antidepressant AND psychotherapy (especially if not improved on monotherapy);   follow frequently

GAD-7 Score     Action Reference
0-4 No anxiety
5-9 Mild anxiety
10-14 Moderate anxiety
15-21 Severe anxiety


Subject: