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Patient Health Questionnaire PHQ Pati ent Name Date No t at all Sev ral d ys Mo th an lf th e d ys Nearly every day

Over the last 2 weeks how oft n have y ou been bot hered by any of t e fol wi ng probl em s a Little in terest o p easu e in d th in b Feel ng down depressed or hopel ss c Trouble fallingstaying as leep sleeping too m ch Feelin tired o h little en e

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Patient Health Questionnaire PHQ Pati ent Name Date No t at all Sev ral d ys Mo th an lf th e d ys Nearly every day






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