Patient health assessment (PHQ-9)

Patient Health Review

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Rate by Scale

Please answer the following questions using the following scale: 0 - never avoid it, 2- slightly avoid it, 4 - definitely avoid it, 6 - markedly avoid it, 8 - always avoid it

Social situations due to a fear of being embarrassed or making a fool of myself *

Certain Situations Because of a Fear of Having a Panic Attack or Other Distressing Symptoms (Such as Loss of Bladder Control, Vomiting or Dizziness) *

Certain Situations Because of a Fear of Particular Objects or Activities (Such as Animals, Heights, Seeing Blood, Being in Confined Spaces, Driving or Flying) *

The information you provide on this form will be sent to our practice and used only to deal with your request. Depending on the form, this may include your contact details, personal information and health information. The practice may add it to your medical record and, where needed for your care, share it with other NHS and care services. To find out how we protect and use your information, please read our privacy policy on our website.

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Patient Health Assessment (PHQ-9)

Further Information