Local Doctors brought to you by Tāmaki Health
Enrol now

Patient Health Questionnaire

This questionnaire is an important part of providing you with the best health care possible. Your answers will help in understanding problems that you may have. Please answer every question to the best of your ability.

A. During the last 4 weeks, how much have you been bothered by any of the following problems?

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

C. Questions about anxiety attacks.

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

E. If you checked off any problems on this questionnaire, 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?