Instructions: (Please print out this form) This questionnaire consists of several statements. Read each statement
carefully, then pick the number that best describes the way you have been feeling during the past two
weeks, including today. See the Table below for interpreting your
score.
Over the last 2 weeks, how often have
you been bothered by any of the
following problems?
Not at all
Several
days
More than
half the
days
Nearly
every
day
Little
interest or pleasure in doing things
0
1
2
3
Feeling
down or depressed
0
1
2
3
Trouble
falling or staying asleep, or sleeping too much
0
1
2
3
Feeling tired or having little
energy
0
1
2
3
Poor appetite or overeating
0
1
2
3
Feeling bad about yourself
—
or that you are a failure or have let yourself or your family down
0
1
2
3
Trouble concentrating on things,
such as reading the newspaper or watching television
0
1
2
3
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
0
1
2
3
Thoughts
that you would be better off dead or of hurting yourself in some
way
0
1
2
3
______ TotalScore
Interpreting PDQ-9 Scores: This questionnaire estimates the
overall severity of depression experienced by the patient according to the
categories shown in the table below. If you scored in the 10-14 range, you should probably seek treatment. If you scored a 15 or higher, seeking treatment
is strongly recommended.
Raw
scoreRange of severity
0-5Not Present
5-9Minimal symptoms of depression reported
10-14Moderate symptoms of depression reported
15-19Moderately Severe symptoms of depression reported
