Loading
Get Patient Health Questionnaire - Phq Strong
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
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.
- Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
- Begin by entering your personal information, such as your name and the date.
- Describe your symptoms in detail. Provide information about the onset date and any known causes of your injury.
- Indicate the frequency of your symptoms by selecting one of the options: constantly, frequently, occasionally, or intermittently.
- Choose the option that best describes the nature of your symptoms: sharp, shooting, dull ache, burning, numb, or tingling.
- Explain how your symptoms have changed since the injury by selecting one of three options: getting better, not changing, or getting worse.
- 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.
- Assess how much pain has interfered with your normal work. Select from options ranging from ‘not at all’ to ‘extremely’.
- 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.
- List any medical professionals you have consulted for your injury and provide details about the treatments and tests received.
- If applicable, indicate any medications you are currently taking, including both prescription and over-the-counter.
- Provide an overall assessment of your current health by selecting from excellent, very good, good, fair, or poor.
- 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!
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.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.