PHQ-9
Created by
Michael Lee
Specialty
Psychiatrist
Last edited
10/20/2026
Uses
0 times
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About this template
A structured template for administering and documenting the PHQ-9 depression questionnaire. It records each symptom score and timing, calculates the total score, assigns a depression severity level, and captures the functional impact of symptoms.
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Patient Information
- Patient Name: Marcus Vance
- Date of Birth (DOB): 14/05/1982
PHQ-9 Clinical Scoring
- Little interest or pleasure in doing things: 2 = More than half the days
- Feeling down, depressed, or hopeless: 3 = Nearly every day
- Trouble falling asleep, staying asleep, or sleeping too much: 3 = Nearly every day
- Feeling tired or having little energy: 3 = Nearly every day
- Poor appetite or overeating: 1 = Several days
- Feeling bad about yourself – or that you are a failure or have let yourself or your family down: 2 = More than half the days
- Trouble concentrating on things, such as reading the newspaper or watching television: 2 = More than half the days
- 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: 0 = Not at all
- Thoughts that you would be better off dead or of hurting yourself in some way: 0 = Not at all
Total PHQ-9 Score: 16
Depression Severity
- 1–4: Minimal depression
- 5–9: Mild depression
- 10–14: Moderate depression
- 15–19: Moderately severe depression
- 20–27: Severe depression
Depression Severity Level: Moderately severe depression
Functional Impact of Symptoms
How difficult have the problems listed above made it for the patient to work, manage responsibilities at home, or get along with other people? Very difficult
How to use this template
This template can be used to assist with various tasks in the medical field. You can use it to generate notes, manage patient information, or assist with diagnosis and the Assessment and Plan. To use this template, simply click the “Use Template” button above. If you have any questions or need assistance, feel free to reach out to the support team or refer to the description and example output provided above.