PLEASE COMPLETE THE PHQ-9 AND GAD-7 Patient Name: DOB: Date of Referral: PHQ9 0 1 2 3 Over the last two weeks how often have you been bothered Not at ...
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...Please complete the phq and gad patient name dob date of referral over last two weeks how often have you been bothered not at all several more than nearly by following problems days half every day a little interest or pleasure in doing things b feeling down depressed hopeless c trouble falling staying asleep sleeping too much d tired having energy e poor appetite overeating f bad about yourself that are failure let your family g concentrating on such as reading newspaper watching television moving speaking so slowly other people could h noticed opposite being fidgety restless around lot usual i thoughts would be better off dead hurting some way severity mild depression score moderate total severe if checked any difficult somewhat very extremely these made it for to do work take care home get along with nervous anxious edge able stop control worrying different relaxing s hard sit still becoming easily annoyed irritable afraid something awful might happen add column scores...