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Depression Telehealth
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Patient Health Questionnaire
Patient: Jasmine T.
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Patient Health Questionnaire
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1. Little interest or pleasure in doing things
Not at all
Several days
More than half the days
Nearly every day
or things much?
2. Feeling down, depressed, or hopeless?
Not at all
Several days
More than half the days
Nearly every day
3. Trouble falling or staying asleep, or sleeping too much?
Not at all
Several days
More than half the days
Nearly every day
4. Feeling tired or having little energy?
Not at all
Several days
More than half the days
Nearly every day
5. If you checked any problems, how difficult have these made it to work, take care of things at home, or get along with people?
Not difficult at all
Somewhat difficult
Very difficult
Extremely difficult
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