Patient Health Questionnaire
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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)
| Not at all | Several days | Every day |
Q4. Feeling tired or having little energy? (single choice)
| Not at all | Several days | Every day |
Q5. Poor appetite or overeating? (single choice)
| Not at all | Several days | Every day |
Q6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down? (single choice)
| Not at all | Several days | Every day |
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