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Phq 9 modified for teens

Phq 9 2026

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The document is a modified Patient Health Questionnaire (PHQ-9) designed for teens, which assesses symptoms of depression over the past two weeks. It includes a series of questions regarding emotional well-being, interest in activities, sleep patterns, appetite changes, energy levels, self-esteem, concentration issues, and thoughts of self-harm. The questionnaire aims to evaluate the severity of depressive symptoms and their impact on daily functioning.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name, clinician's name, and the date at the top of the form. This personal information is essential for tracking your responses.
For each symptom listed, mark an 'X' in the box that best describes how you have felt over the past two weeks. The options range from 'Not At All' to 'Nearly Every Day'.
Pay special attention to questions 10, 12, and 13 regarding feelings of depression and thoughts of self-harm. Your honest answers are crucial for effective support.
Finally, assess how difficult these problems have made it for you in daily life by selecting one of the options provided. This helps gauge the impact on your overall well-being.

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Versions	Form popularity	Fillable & printable
2011	4.2 Satisfied (40 Votes)
2010	4.3 Satisfied (28 Votes)

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