Patient Health Questionnaire-9 (PHQ-9) Depression Screening Assessment Instructions: Over the last two weeks, how often have you been bothered by any of the following problems? Mark the box that best applies to you for each question below. Name Date Total Score 0 Interpretation: Minimal depression Score Range: 0-4 (Minimal) | 5-9 (Mild) | 10-14 (Moderate) | 15-19 (Moderately Severe) | 20-27 (Severe) 10. If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? Comments Clinician Notes Clear Form Save & Submit