General Symptoms

The General Symptoms are based on the Patient Health Questionnaire Physicial Symptoms PHQ-15.

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• Symptom Assessment
• Well-Being Assessment
• CDC Health Risk Assessments

Over the last 4 weeks, how often have you been bothered by the following problems?	Not bothered at all	Bothered a little	Bothered a lot
1. Stomach pain	0	1	2
2. Back pain	0	1	2
3. Pain in your arms, legs, or joints (knees, hips, etc.)	0	1	2
4. Menstrual cramps or other problems with your period - WOMEN ONLY	0	1	2
5. Headaches	0	1	2
6. Chest pain	0	1	2
7. Dizziness	0	1	2
8. Fainting spells	0	1	2
9. Feeling your heart pound or race	0	1	2
10. Shortness of breath	0	1	2
11. Pain or problems during sexual intercourse	0	1	2
12. Constipation, loose bowels, or diarrhea	0	1	2
13. Nausea, gas, or indigestion	0	1	2
14. Feeling tired or having low energy	0	1	2
15. Trouble failing or staying asleep, or sleeping too much	0	1	2
Total the score	0	_____	+_____
		_____	=Total Score

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

Interpreting PHQ-9 Scores

Diagnosis	Total Score	For Score	Suggested Action
Minimal depression	0-4	≤ 4	The score suggests the patient may not need depression treatment
Mild depression Moderate depression	5-9 10-14	5-14	Physician uses clinical judgement about treatment, based on patient's duration of symptoms and functional impairment
Moderately severe depression Severe depression	15-19 20-27	> 14	Warrants treatment for depression, using antidepressant, psychotherapy and/or combination of treatment

The PHQ-9 is described in more detail at the Pfizer website.