Depression Scale (PHQ-9)

Full Name *

Today's Date: *

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

Little interest or pleasure in doing things *

0 Not at all

1 Several days

2 More than half the days

3 Nearly every day

Feeling depressed, or hopeless *

0 Not at all

1 Several days

2 More than half the days

3 Nearly every day

Trouble falling or staying asleep, or sleeping too much *

0 Not at all

1 Several days

2 More than half the days

3 Nearly every day

Feeling tired or having little energy *

0 Not at all

1 Several days

2 More than half the days

3 Nearly every day

Poor appetite or overeating *

0 Not at all

1 Several days

2 More than half the days

3 Nearly every day

Feeling bad about yourself or that you are a failure or have let yourself or your family down *

0 Not at all

1 Several days

2 More than half the days

3 Nearly every day

Trouble concentrating on things, such as reading the newspaper or watching television *

0 Not at all

1 Several days

2 More than half the days

3 Nearly every day

Moving or speaking so slowly that other people could have noticed. Or the opposite--being so fidgety or restless that you have been moving around a lot more than usual *

0 Not at all

1 Several days

2 More than half the days

3 Nearly every day

Thoughts that you would be better off dead, or of hurting yourself *

0 Not at all

1 Several days

2 More than half the days

3 Nearly every day

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Brain, Not Bone Alone

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25909 Pala Ste. 190

Mission Viejo, CA 92691

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New! Office Hours

Monday, Tuesday, Thursday

8:30am – 12:30pm & 2:30pm - 6:00pm

Wednesday

4:00pm - 6:00pm

8:30am - 12:30pm

1 Saturday/Month

9:00am - 12:30pm by Appointment Only!

Massage Hours

Monday 8:00am - 6:00pm

Tuesday 9:00am - 7:00pm

Wednesday 1:15pm - 6:15pm

Thursday 9:00am - 6:00pm

Friday Stretch 8:30am - 12:30pm

Saturday 8:30am - 5:15pm

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