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Mental Health Assessment

All participants fill out the Monthly Mental Health Assessment form and click submit. We look forward to welcoming you to the SMH community.

SMH PATIENT HEALTH QUESTIONNAIRE (PHQ-9)

Birthday
Month
Day
Year
Date
Month
Day
Year

Over the next 2 weeks, how often were you bothered by any of the following problems?

(use the numbers to indicate your answer)

  1. Not at all

  2. Several days

  3. More than half the days

  4. Nearly everyday

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 or have let yourself or your family down
7. Trouble concentrating on things, such as reading the newspaper or watching television
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
9. Thoughts that you would be better off dead, or of hurting yourself

Add the total number of points based on your answer from each category

(Healthcare professional: For interpretation of TOTAL, please refer to the scoring card).

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?
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