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    PHQ and GAD One Page - Fillable

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    lisa stewart
    This document contains two mental health screening assessments: the PHQ-9 and GAD-7. The veteran is asked to rate how frequently they have experienced various symptoms of depression and anxiety over the past 2 weeks on a scale of 0 to 3. The PHQ-9 assesses 9 symptoms of depression, while the GAD-7 evaluates 7 symptoms of generalized anxiety disorder. The veteran is also asked to rate how difficult any issues have made daily activities. The screening is meant to help a clinician evaluate symptoms and develop a treatment plan.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PHQ and GAD One Page - Fillable

    Uploaded by

    lisa stewart
    685 views1 page
    This document contains two mental health screening assessments: the PHQ-9 and GAD-7. The veteran is asked to rate how frequently they have experienced various symptoms of depression and anxiety over the past 2 weeks on a scale of 0 to 3. The PHQ-9 assesses 9 symptoms of depression, while the GAD-7 evaluates 7 symptoms of generalized anxiety disorder. The veteran is also asked to rate how difficult any issues have made daily activities. The screening is meant to help a clinician evaluate symptoms and develop a treatment plan.

    Original Description:

    fillable pdf of mood screeners

    Original Title

    PHQ and GAD one page - Fillable

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    This document contains two mental health screening assessments: the PHQ-9 and GAD-7. The veteran is asked to rate how frequently they have experienced various symptoms of depression and anxiety over the past 2 weeks on a scale of 0 to 3. The PHQ-9 assesses 9 symptoms of depression, while the GAD-7 evaluates 7 symptoms of generalized anxiety disorder. The veteran is also asked to rate how difficult any issues have made daily activities. The screening is meant to help a clinician evaluate symptoms and develop a treatment plan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    685 views1 page

    PHQ and GAD One Page - Fillable

    Uploaded by

    lisa stewart
    This document contains two mental health screening assessments: the PHQ-9 and GAD-7. The veteran is asked to rate how frequently they have experienced various symptoms of depression and anxiety over the past 2 weeks on a scale of 0 to 3. The PHQ-9 assesses 9 symptoms of depression, while the GAD-7 evaluates 7 symptoms of generalized anxiety disorder. The veteran is also asked to rate how difficult any issues have made daily activities. The screening is meant to help a clinician evaluate symptoms and develop a treatment plan.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Veteran’s Last Name: _____________________________________ Last 4 digits of SSN: __________________

    Date: ____________

    Please read each item carefully and give your best response.

    PHQ-9
    More than
    Over the past 2 weeks, how often have you been Not Several Nearly
    half the
    bothered by any of the following problems? at all days every day
    days
    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
    0 1 2 3
    much
    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


    0 1 2 3
    have let yourself or your family down

    7. Trouble concentrating on things, such as reading the


    0 1 2 3
    newspaper or watching television
    8. Moving or speaking so slowly that other people
    could have noticed. Or the opposite, being so
    0 1 2 3
    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
    0 1 2 3
    hurting yourself in some way
    10. If you checked off any problems, how DIFFICULT
    have these problems made it for you to do your work, Not at all Somewhat Very Extremely
    take care of things at home, or get along with other difficult difficult difficult difficult
    people?

    GAD-7
    Over the last 2 weeks, how often have you been bothered Not Several More than Nearly
    by the following problems? at all days half the days every day

    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. Worrying too much about different things 0 1 2 3

    4. Trouble relaxing 0 1 2 3
    5. Being so restless that it is hard to sit still 0 1 2 3
    6. Becoming easily annoyed or irritable 0 1 2 3

    7. Feeling afraid as if something awful might happen 0 1 2 3

    For provider:
    Group name: _____________________________________________ Session #: __________

    Clinician Name: ___________________________________________

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