Patient Health Questionnaire (PHQ-9)

Please answer the questions and submit the form.

Please correct the errors described below.

Client Information

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

24/7 support is available from The National Suicide Prevention Lifeline (1-800-273-8255) and the Crisis Text Line (text “HOME” to 741741;

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