Mental Health Review (PHQ-9) Form Test

Mental Health Review (PHQ-9) Form

Please note that this questionnaire is not designed for people to complete without any input from their healthcare professional.

Please contact your doctor if you are:

  • Concerned about your mood; or
  • Have completed this questionnaire and it indicates that you may be depressed.
If you are having any thoughts of self-harm, please read our leaflet on Dealing with Suicidal Thoughts, which gives advice on all the help that is available.

Mental Health Review (PHQ-9) Form

Personal Details


Your Mental Health Review

Over the last two weeks, how often have you been bothered by any of the following problems?

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.