PHQ-4 – Anxiety and Depression Screen

Over the last two weeks, how often have you been bothered by the following problems?

Feeling nervous, anxious or on edge :	Not at allSeveral daysMore than half the daysNearly every day
Not being able to stop or control worrying :	Not at allSeveral daysMore than half the daysNearly every day
Little interest or pleasure in doing things :	Not at allSeveral daysMore than half the daysNearly every day
Feeling down, depressed or hopeless :	Not at allSeveral daysMore than half the daysNearly every day

Formula :

Points are given for each variable.

Explanation of Result :

Anxiety Section :
1. Feeling nervous, anxious or on edge:
2. Not being able to stop worrying:

Score of 3 or more is positive and should be further evaluated by GAD-7 or a mental health referral should be made.

Depression Section :
1. Little interest or pleasure in doing things:
2. Feeling down, depressed or hopeless:

Score of 3 or more is positive and should be further evaluated by PHQ-9 or a mental health referral should be made.

* Please verify all calculations prior to clinical use.