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. 2013 Oct 20;13:271. doi: 10.1186/1471-244X-13-271

Table 4.

Final consensus questions- adapted PHQ-9

Questions None A little bit Most of the time All of the time
In the last two weeks, how often have you been feeling the following:
1
Have you been feeling slack, not wanted to do anything?
0
1
2
3
2
Have you been feeling unhappy, depressed, really no good, that your spirit was sad?
0
1
2
3
3
Have you found it hard to sleep at night, or had other problems with sleeping?
0
1
2
3
4
Have you felt tired or weak, that you have no energy?
0
1
2
3
5a$
Have you not felt like eating much even when there was food around?
0
1
2
3
5b$
Have you been eating too much food?
0
1
2
3
6
Have you been feeling bad about yourself, that you are useless, no good, that you have let your family down?
0
1
2
3
7
Have you felt like you can’t think straight or clearly, its hard to learn new things or concentrate?
0
1
2
3
8a$
Have you been talking slowly or moving around really slow?
0
1
2
3
8b$
Have you felt that you can’t sit still; you keep moving around too much?
0
1
2
3
9
Have you been thinking about hurting yourself or killing yourself?
0
1
2
3
    Total score (0–27)  

$Note: Scores for depressive symptoms - record only the highest in each of these sub-questions.