(Use " " To Indicate Your Answer) : Been Bothered by The Following Problems?

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PHQ-4

Over the last 2 weeks, how often have you


More than
been bothered by the following problems? Not Several Nearly
half the
(Use “✔” to indicate your answer) at all days every day
days

1. Feeling nervous, anxious or on edge 0 1 2 3

2. Not being able to stop or control worrying 0 1 2 3

3. Little interest or pleasure in doing things 0 1 2 3

4. Feeling down, depressed, or hopeless 0 1 2 3

Scoring

PHQ-4 total score ranges from 0 to 12, with categories of psychological distress being:
• None 0-2
• Mild 3-5
• Moderate 6-8
• Severe 9-12

Anxiety subscale = sum of items 1 and 2 (score range, 0 to 6)


Depression subscale = sum of items 3 and 4 (score range, 0 to 6)
On each subscale, a score of 3 or greater is considered positive for screening purposes

The PHQ scales were developed by Drs. Robert L. Spitzer, Janet B.W. Williams, and Kurt Kroenke and
colleagues. The PHQ scales are free to use. For research information, contact Dr. Kroenke at
[email protected]

Kroenke K, Spitzer RL, Williams JBW, Löwe B. An ultra-brief screening scale for anxiety and
depression: the PHQ-4 Psychosomatics 2009;50:613-621.

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