PHQ-4 - Vital Start Health

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ABOUT
- VISION
- PURPOSE
- TEAM
- CONTACT
SOLUTIONS
- COURAGE^TM
- EMBRACE
- EMBODY
- EMPOWER
RESOURCES
- TOOLS & TIPS
- BLOG
LOGIN

ABOUT
- VISION
- PURPOSE
- TEAM
- CONTACT
SOLUTIONS
- COURAGE^TM
- EMBRACE
- EMBODY
- EMPOWER
RESOURCES
- TOOLS & TIPS
- BLOG
LOGIN

Patient Health Questionnaire (PHQ-4)

Over the last 2 weeks, how often have you been bothered by any of the following problems?

1. Feeling nervous, anxious or on edge *

Not at all
Several days
More than half the days
Nearly every day

2. Not being able to stop or control worrying *

Not at all
Several days
More than half the days
Nearly every day

3. Feeling down, depressed or hopeless *

Not at all
Several days
More than half the days
Nearly every day

4. Little interest or pleasure in doing things *

Not at all
Several days
More than half the days
Nearly every day

Name *

Date of Birth *

Referring Provider Name

Referring Provider Email

Location

Terms of Service *

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The Vital Sign of Well-Being is our guiding vision at Vital Start Health.

Our focus is on complete well-being & mental health as the fifth Vital Sign, clinically guided, measurable and personalized for each person at every stage of their care journey.

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