PHQ-9, GAD-7, IAPT Phobia Scales, and W & SAS Questionnaires

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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PHQ-9

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

1

Little interest or pleasure in doing things

2

Feeling down, depressed or hopeless

3

Trouble falling, or staying asleep or sleeping too much

4

Feeling tired or having little energy

5

Poor appetite or overeating

6

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

7

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

8

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

9

Thoughts that you would be better off dead or of hurting yourself in some way

GAD-7

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

10

Feeling nervous, anxious or on edge

11

Not being able to stop or control worrying

12

Worrying too much about different things

13

Trouble relaxing

14

Being so restless that it is hard to sit still

15

Becoming easily annoyed or irritable

16

Feeling afraid as if something awful might happen

Phobia Scales

17

Social situations due to a fear of being embarrassed or making a fool of myself

18

Certain situations because of a fear of having a panic attack or other distressing symptoms (such as loss of bladder control, vomiting or dizziness)

19

Certain situations because of a fear of particular objects or activities (such as animals, heights, seeing blood, being in confined spaces, driving or flying)

W & SAS

For each activity below, rate it on its scale how much your problem impairs your ability to carry it out.

20

work - if you are retired or choose not to have a job for reasons unrelated to your problem, please select N/A (not applicable)

21

home management - cleaning, tidying, shopping, cooking, looking after home/children, paying bills etc

22

social leisure activities - with other people, e.g. parties, pubs, outings, entertaining etc

23

private leisure activities - done alone, e.g. reading, gardening, sewing, hobbies, walking etc

24

family and relationships - form and maintain close relationships with others including the people that I live with

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