Patient Health Questionnaire

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Patient Health Questionnaire

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Causes :

Mental Health & Wellbeing

Identity Ratio Sets :

Do you have any of these health conditions?

Sub Ratios :

Other Condition

*Q1. Your name (this will be attached to a person's response when the survey is completed anonymously)

*Q2. Over the last two weeks, how often have you been bothered by any of the following problems? (Text)

*Q3. Little interest or pleasure in doing things? (single choice)

Question Settings ▼ ▲
Not at all Several days Every day

Dropdown List used: Little interest or pleasure in doing things?

*Q4. Feeling tired or having little energy? (single choice)

Question Settings ▼ ▲
Not at all Several days Every day

Dropdown List used: Feeling tired or having little energy?

*Q5. Poor appetite or overeating? (single choice)

Question Settings ▼ ▲
Not at all Several days Every day

Dropdown List used: Poor appetite or overeating?

*Q6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down? (single choice)

Question Settings ▼ ▲
Not at all Several days Every day

Dropdown List used: Feeling bad about yourself - or that you are a failure or have let yourself or your family down?

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