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Patient Health Questionnaire-2 (PHQ-2)

Patient Health Questionnaire-2 (PHQ-2) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Questionnaires



Patient Name

DOB:

MR #


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

1. Little interest, or pleasure in doing things

0 1 2 3
2. Feeling down, depressed, or hopeless 0 1 2 3





































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