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Patient Health Questionnaire PHQ-9 Patient Name Date 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name in the 'Patient Name' field. This personalizes the questionnaire and ensures that your responses are accurately attributed.
- Next, input the current date in the 'Date' field. This helps track when the questionnaire was completed, which is important for your healthcare provider.
- 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.
- After completing all questions, calculate your subtotal scores as indicated. This will help provide a clearer picture of your mental health status.
- 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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