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  • Patient Health Questionnaire - Phq Strong

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Patient Health Questionnaire PHQ Strong Chiropractic Office Date: Patient Name: 1. Describe your symptoms in detail: a. Date of onset? b. What caused your injury? 2. How often do you experience your.

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How to fill out the Patient Health Questionnaire - PHQ Strong online

Filling out the Patient Health Questionnaire - PHQ Strong online is a straightforward process designed to assess your symptoms and overall health. This guide will provide you with step-by-step instructions to help you complete the form accurately and effectively.

Follow the steps to successfully complete the PHQ Strong form online.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
  2. Begin by entering your personal information, such as your name and the date.
  3. Describe your symptoms in detail. Provide information about the onset date and any known causes of your injury.
  4. Indicate the frequency of your symptoms by selecting one of the options: constantly, frequently, occasionally, or intermittently.
  5. Choose the option that best describes the nature of your symptoms: sharp, shooting, dull ache, burning, numb, or tingling.
  6. Explain how your symptoms have changed since the injury by selecting one of three options: getting better, not changing, or getting worse.
  7. Rate the intensity of your symptoms by indicating the lowest, average, and highest intensity experienced since the injury, using the provided scale from 0 to 10.
  8. Assess how much pain has interfered with your normal work. Select from options ranging from ‘not at all’ to ‘extremely’.
  9. Describe the impact of your condition on social activities. Choose from the options: all of the time, most of the time, a little of the time, or some of the time.
  10. List any medical professionals you have consulted for your injury and provide details about the treatments and tests received.
  11. If applicable, indicate any medications you are currently taking, including both prescription and over-the-counter.
  12. Provide an overall assessment of your current health by selecting from excellent, very good, good, fair, or poor.
  13. Finally, sign and date the form to validate your responses. Ensure all fields are completed before submitting.

Start completing your Patient Health Questionnaire - PHQ Strong online today!

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The Beck Depression Inventory (BDI) is widely used to screen for depression and to measure behavioral manifestations and severity of depression. The BDI can be used for ages 13 to 80. The inventory contains 21 self-report items which individuals complete using multiple choice response formats.

PHQ-9 Depression Severity.Scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depression, respectively. Sensitivity to change has also been confirmed.

Page 3. Scoring notes. PHQ-9 Depression Severity. Scores represent: 0-5 = mild 6-10 = moderate 11-15 = moderately severe. 16-20 = severe depression.

PHQ-9 total score for the nine items ranges from 0 to 27. In the above case, the PHQ- 9 depression severity score is 16 (3 items scored 1, 2 items scored 2, and 3 items scored 3). Scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depression, respectively.

Little interest or pleasure in doing things? ... Feeling down, depressed, or hopeless? ... Trouble falling or staying asleep, or sleeping too much? ... Feeling tired or having little energy? ... Poor appetite or overeating? ... Feeling bad about yourself or that you are a failure or have let yourself or your family down?

Using the MHP reinterview as the criterion standard, a PHQ-9 score 10 had a sensitivity of 88% and a specificity of 88% for major depression. PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively.

Depression Severity: 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe. ... PHQ-9 score 10 had a sensitivity of 88% and a specificity of 88% for major depression. It can even be used over the telephone.

1-4: This is considered minimal depression, which suggests that the respondent may not need depression treatment. 5-9: This is considered mild depression. ... 10-14: This is considered moderate depression. ... 15-19: This is considered moderately severe depression. ... 20-27: This is considered severe depression.

When screening for depression the Patient Health Questionnaire (PHQ-2) can be used first (it has a 97% sensitivity and a 67% specificity). If this is positive, the PHQ-9 can then be used, which has 61% sensitivity and 94% specificity in adults.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232