Patient Health Questionnaire PHQ-9 Patient Name Date 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the 'Patient Name' field. This personalizes the questionnaire and ensures that your responses are accurately attributed.
3. Next, input the current date in the 'Date' field. This helps track when the questionnaire was completed, which is important for your healthcare provider.
4. Proceed to answer questions 1 through 10 regarding your feelings and experiences over the past two weeks. For each question, select a response that best reflects your situation by marking the appropriate box.
5. After completing all questions, calculate your subtotal scores as indicated. This will help provide a clearer picture of your mental health status.
6. Finally, if you checked any problems, indicate how difficult these issues have been for you by selecting one of the options provided at the end of the form.

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