NM800075 (Rev.9 /15/16) Worksheet Only – Not a Medical Record Document
UW Health uwhealth.org
(University of Wisconsin Hospitals and Clinics Authority)
PATIENT HEALTH QUESTIONNAIRE (PHQ-2)
Over the last 2 weeks, how often have you been
bothered by the following problems?
(Use “” to indicate your answer)
half the days
1. Little interest, or pleasure in doing things
0 1 2 3
2. Feeling down, depressed, or hopeless 0 1 2 3
Copyright © 2005 Pfizer, Inc, All rights reserved. Reproduced with Permission.