
9 questions about the last 2 weeks, scored 0 to 27. A screening tool, not a diagnosis.
The Patient Health Questionnaire-9 (PHQ-9) asks how often 9 common symptoms of depression have bothered you over the last 2 weeks. Doctors, therapists and other clinicians use it to screen for depression and to track how symptoms change. It takes 2 to 3 minutes. It is a screening tool, not a diagnosis.
If you are thinking about hurting yourself or ending your life, call or text 988 (the 988 Suicide & Crisis Lifeline, free, 24/7) or chat at 988lifeline.org. If you are in immediate danger, call 911 or go to the nearest emergency room. This questionnaire can’t help in an emergency.
Instructions
Over the last 2 weeks, how often have you been bothered by any of the following problems? Choose one answer for each question.
This is a screening questionnaire, not a diagnosis. Only a doctor or licensed mental health professional can diagnose depression, after talking with you and ruling out other causes such as medical conditions or medicines. Whatever your score, if you are worried about your mood, talk with your doctor.
For patients and families
Low mood is common after an injury, a stroke, a brain injury or a long illness, and it can make recovery harder. Bring your result to your doctor or therapist so it can be part of your care. If you or a family member would like help from a physical therapist, request an appointment with Holsman Physical Therapy or call 1-855-465-7626.
| PHQ-9 total | Depression symptom severity |
|---|---|
| 0–4 | None to minimal |
| 5–9 | Mild |
| 10–14 | Moderate |
| 15–19 | Moderately severe |
| 20–27 | Severe |
For clinicians: brain injury and other neurologic conditions can cause fatigue, sleep, appetite and concentration problems on their own, so a high score calls for a full clinical assessment rather than an automatic label. Related screen for older adults: the Geriatric Depression Scale (GDS-15).
Sources. Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613. Pfizer PHQ Screeners, Instructions for Patient Health Questionnaire (PHQ) and GAD-7 Measures (severity bands, Table 4). Löwe B, Unützer J, Callahan CM, Perkins AJ, Kroenke K. Monitoring depression treatment outcomes with the Patient Health Questionnaire-9. Med Care. 2004;42(12):1194-1201. It is one of the measures reviewed in the Academy of Neurologic Physical Therapy (ANPT) TBI EDGE outcome measure recommendations; see neuropt.org for the task force’s recommendations.
Permissions. The PHQ-9 was developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. Per the PHQ Screeners site, the PHQ measures are in the public domain and no permission is required to reproduce, translate, display or distribute them.
Clinically reviewed by Dr. Richard Holsman, PT, DPT, NCS. Last reviewed: November 14, 2026. Holsman Physical Therapy is not affiliated with these authors, organizations or journals, and they do not endorse this website.
Next step: Share this printout with your doctor or a mental health professional. Holsman physical therapists see patients at clinics across North Jersey, the Bronx and Brooklyn, plus in-home visits. Refer a patient or call 1-855-465-7626. Patients can request an appointment.
The Patient Health Questionnaire-9 is a 9-question form about how often common symptoms of depression have bothered you in the last 2 weeks. It was developed by Drs. Spitzer, Williams, Kroenke and colleagues and is widely used in medical offices to screen for depression and track symptoms.
Each question scores 0 to 3, for a total of 0 to 27. Scores of 5, 10, 15 and 20 mark the start of the mild, moderate, moderately severe and severe ranges. The final question about how difficult the problems make daily life is not added to the score.
No. The PHQ-9 is a screening tool, not a diagnosis. A doctor or licensed mental health professional needs to talk with you to make a diagnosis and rule out other causes. A score of 10 or more is a reason to follow up with your doctor.
Question 9 asks about thoughts of being better off dead or of hurting yourself. Any answer other than not at all needs prompt follow-up. If you are thinking about hurting yourself, call or text 988 (the 988 Suicide & Crisis Lifeline) now, or call 911 if you are in immediate danger.
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Physical therapists at clinics across North Jersey, the Bronx and Brooklyn, plus in-home visits.
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