We are excited to have the opportunity to work with you. To ensure we can provide the best possible service and care, we kindly ask that you complete the survey below. This survey will help us get to know you better and enable us to tailor a treatment plan that fits your unique needs and preferences.

PHQ-9

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

Little interest or pleasure in doing things

Feeling down, depressed, or hopeless

Trouble falling or staying asleep or sleeping too much

Feeling tired or having little energy

Poor appetite or overeating

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

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

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

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

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?

GAD-7

Feeling nervous, anxious or on edge

Not being able to stop or control worrying

Trouble relaxing

Being so restless that it is hard to sit still

Becoming easily annoyed or irritable

Feeling afraid as if something awful might happen

Name

Anxiety & Depression Survey

We strive to make a positive impact in the lives of those who seek our help. We believe in treating each client with kindness, respect, and empathy, creating an environment of trust and hope.