Toggle navigation Load unfinished survey Resume later Language: English - English English - English Français - French default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Patient Health Questionnaire (PHQ-9) Thank you for your interest for Actidote! To determine whether or not you can participate in the study, please answer the following form. Your answers are confidential. (This question is mandatory) Over THE LAST 2 WEEKS, how often have you been bothered by any of the following problems ? Never Several days More than half the time Almost every day Little interest or pleasure in doing things Never Several days More than half the time Almost every day Feeling down, depressed, or hopeless Never Several days More than half the time Almost every day Trouble falling or staying asleep, or sleeping too much Never Several days More than half the time Almost every day Feeling tired or having little energy Never Several days More than half the time Almost every day Poor appetite or overeating Never Several days More than half the time Almost every day Feeling bad about yourself — or that you are a failure or have let yourself or your family down Never Several days More than half the time Almost every day Trouble concentrating on things, such as reading the newspaper or watching television Never Several days More than half the time Almost every day Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual Never Several days More than half the time Almost every day Thoughts that you would be better off dead or of hurting yourself in some way Never Several days More than half the time Almost every day (This question is mandatory) 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? Not difficult at all Quite difficult Very difficult Extremely difficult Not difficult at all Quite difficult Very difficult Extremely difficult (This question is mandatory) Please leave your email so that we can contact you for the rest of the study. Please check the format of your answer. Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×
