2019-08-07_edited.png
KESPARA MEDICAL CENTER
22 Meridian Rd, Suite 10 Edison, NJ 08820
22 Meridian Rd, Suite 10 Edison, NJ 08820
Pullin Patel,MD
Internal Medicine
Ph:(732) 243-9808
Fax:(732) 791-5765
PATIENT HEALTH QUESTIONNAIRE(PHQ-9)
Name : 
Over the last two weeks ,how often have you been
bothered by any of the following problems?
(Use ' ' to indicate your answer.)
Not At All
Date:
Several Days
More Than half Days
Nearly Everyday
  1. Little interest or pleasure in doing things
2.Feeling, down depressed or hopeless
 3.Trouble falling or staying asleep, or sleeping too much.
 4.Feeling tired or having little energy.
 5.Poor appetite or overeating.
 6.Feeling bad about yourself- or that you are a                             failure or have let yourself or your family down.
7.Trouble concentrating on things, such as                                  reading the newspapers or watching television.
8.Moving or sleeping so slowly that other people                             could have noticed. Or the opposite- being so figety or                 restless that you have been moving around a lot more than           usual.
9.Thoughts that you would be better off dead,or of                      hurting yourself.
TOTAL-
10.If you checked of any problems ,how difficult have these problems made it if you do your work, take care of your things at home , or get along with another people. 

Your content has been submitted