Cardiovascular Risk Profile for
Over the last 2 weeks, how often have you been
bothered by any of the following problems?
Not at
all
Several
days
More than
half
the days
Nearly
every
day
1. Little interest or pleasure in doing things
2. Feeling down, depressed, or hopeless
3. Trouble falling or staying asleep, or sleeping too much
4. Feeling tired or having little energy
5. Poor appetite or overeating
6. Feeling bad about yourself -
or that you are a failure or have let yourself or your family down
7. Trouble concentrating on things,
such as reading the newspaper or watching television
8. 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
9. Thoughts that you would be better off dead
or of hurting yourself in some way
Total score
Depression severity
10. 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
Somewhat
difficult
Very
difficult
Extremely
difficult
Wayside Health Associates
Jay B. Krasner, MD, FACP
111 Boston Post Road
Suite 107
Sudbury, MA 01776
Phone: (978) 443-8010
Fax: (978) 443-4634
www.waysidehealth.com
Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a Brief Depression Severity Measure. Journal of General Internal Medicine. 2001;16(9):606-613. doi:10.1046/j.1525-1497.2001.016009606.x.    Web