PHQ-9 + GAD-7 Questionnaire

Basic Information

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User ID *

Date

0 = Not at all | 1 = Several days | 2 = More than half the days | 3 = Nearly every day

1. Little interest or pleasure in doing things

0 1 2 3

2. Feeling down, depressed, or hopeless

0 1 2 3

3. Trouble falling or staying asleep, or sleeping too much

0 1 2 3

4. Feeling tired or having little energy

0 1 2 3

5. Poor appetite or overeating

0 1 2 3

6. Feeling bad about yourself — or that you are a failure or have let yourself or your family down

0 1 2 3

7. Trouble concentrating on things, such as reading or watching television

0 1 2 3

8. Moving or speaking so slowly that others could notice, or the opposite — being so fidgety or restless

0 1 2 3

9. Thoughts that you would be better off dead or of hurting yourself

0 1 2 3