Choosing Memento Vivere

PHQ-9 Depression Screener

Patient Health Questionnaire — a validated 9-item depression screening tool.

Over the last 2 weeks, how often have you been bothered by the following problems?

Your Name Client Code (provided by your therapist)

Question 1 of 9

Little interest or pleasure in doing things

Not at all Several days More than half the days Nearly every day

Question 2 of 9

Feeling down, depressed, or hopeless

Not at all Several days More than half the days Nearly every day

Question 3 of 9

Trouble falling or staying asleep, or sleeping too much

Not at all Several days More than half the days Nearly every day

Question 4 of 9

Feeling tired or having little energy

Not at all Several days More than half the days Nearly every day

Question 5 of 9

Poor appetite or overeating

Not at all Several days More than half the days Nearly every day

Question 6 of 9

Feeling bad about yourself — or that you are a failure or have let yourself or your family down

Not at all Several days More than half the days Nearly every day

Question 7 of 9

Trouble concentrating on things, such as reading the newspaper or watching television

Not at all Several days More than half the days Nearly every day

Question 8 of 9

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

Not at all Several days More than half the days Nearly every day

Question 9 of 9

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

Not at all Several days More than half the days Nearly every day

Your responses are confidential.

Thank you

Your assessment has been recorded.

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© 2026 Jonathan Procter, Ph.D., LMHC — Choosing Memento Vivere

Choosing Memento Vivere