BRIEF PATIENT HEALTH QUESTIONNAIRE (Brief PHQ)
This questionnaire is an important part of providing you with the best health care possible. Your answers will help in understanding problems that you may have. Please answer every question to the best of your ability unless you are requested to skip a question.
1. Over the last 2 weeks, how often have you been bothered by any of the following problems?
2. Questions about anxiety.
If you checked “NO,” go to question 3.
4. In the last 4 weeks, how much have you been bothered by any of the following problems?
7. Are you taking any medication for anxiety, depression, or stress?
8. FOR WOMEN ONLY: Question about menstruation, pregnancy, and childbirth.
Developed by Drs Robert L. Spitzer, Janet B. W. Williams, Kurt Kroenke, and colleagues, with an educational grant from Prfizer Inc. For research information, contact Dr. Spitzer at email@example.com. Copyright 2004 Pfizer Inc. All rights reserved. Reproduction with permission. PRIME-HD is a trademark of Pfizer Inc. Further reproduction or dissemination of this material on the internet or otherwise is prohibited.