Over the last 2 weeks, how often have you been bothered by any of the following problems? 1. Little interest or pleasure in doing things Not at all Several days More than half the days Nearly every day
Over the last 2 weeks, how often have you been bothered by any of the following problems? 2. Feeling down, depressed, or hopeless Not at all Several days More than half the days Nearly every day
Over the last 2 weeks, how often have you been bothered by any of the following problems? 3. Trouble falling or staying asleep, or sleeping too much Not at all Several days More than half the days Nearly every day
Over the last 2 weeks, how often have you been bothered by any of the following problems? 4. Feeling tired or having little energy Not at all Several days More than half the days Nearly every day
Over the last 2 weeks, how often have you been bothered by any of the following problems? 5. Poor appetite or overeating Not at all Several days More than half the days Nearly every day
Over the last 2 weeks, how often have you been bothered by any of the following problems? 6. Feeling bad about yourself, or that you are a failure or have let yourself or your family down Not at all Several days More than half the days Nearly every day
Over the last 2 weeks, how often have you been bothered by any of the following problems? 7. Trouble concentrating on things, such as reading the newspaper or watching television Not at all Several days More than half the days Nearly every day
Over the last 2 weeks, how often have you been bothered by any of the following problems? 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 Not at all Several days More than half the days Nearly every day
Over the last 2 weeks, how often have you been bothered by any of the following problems? 9. Thoughts that you would be better off dead, or of hurting yourself in some way Not at all Several days More than half the days Nearly every day
A few questions about you These are optional, so skip any you like. They help Relate understand who uses these screenings and what affects how people feel, for example whether women and men answer differently. We never ask for your name.
AgePrefer not to say 12 or under 13–17 18–24 25–34 35–44 45–54 55–64 65–74 75–84 85 or over GenderPrefer not to say Woman Man Another gender StatePrefer not to say Johor Kedah Kelantan Kuala Lumpur Labuan Melaka Negeri Sembilan Pahang Penang Perak Perlis Putrajaya Sabah Sarawak Selangor Terengganu Outside Malaysia EthnicityPrefer not to say Malay Chinese Indian Bumiputera Sabah Bumiputera Sarawak Orang Asli Other Marital statusPrefer not to say Single Married Divorced or separated Widowed EducationPrefer not to say Secondary or below Diploma Degree Postgraduate WorkPrefer not to say Student Employed Self-employed Not working Retired
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Relate keeps your answers without your name, to understand how people are doing. They are stored on a server in the United States. See “Your privacy” on My check-ins.
Please note: Our screens are only for adults. You acknowledge that the screen is not a diagnostic instrument and is only to be used by you if you are 18 years or older. You are encouraged to share your results with a physician or healthcare provider. PHQ9 Copyright © Pfizer Inc. All rights reserved. Reproduced with permission. PRIME-MD ® is a trademark of Pfizer Inc.
