Accepting new patientsTexas residents onlyWe do not accept MedicaidNow open: North Dallas office
Online patient form

Patient Health Questionnaire (Depression Assessment) (PHQ-9)

Fields marked * are required. Your answers are sent securely to our intake team — nothing is stored in your browser.

Please answer the following 9 questions.

Over the last 2 weeks, how often have you been bothered by any of the following problems? 0- Not at all 1- Several days 2- More than half of the days 3- Nearly every day
Little interest or pleasure in doing things
Feeling down, depressed, or hopeless
Trouble falling or staying asleep, or sleeping too much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself — or that you are a failure or have let yourself or your family down
Trouble concentrating on things, such as reading the newspaper or watching television
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
Thoughts that you would be better off dead or of hurting yourself in some way
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?
5-9 mild; 10-14 moderate; 15-19 moderate-severe; 20-27 severe.

Your submission is emailed securely to our intake team. This form is not for emergencies.

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