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

Feeling nervous, anxious or on edge?

Not being able to stop or control worrying

Little interest or pleasure in doing things

Feeling down, depressed or hopeless

Your score is:


Anxiety subscale 0
Depression subscale 0

PHQ-4 Scoring

Total score ranges from 0 to 12, with categories of psychological distress as follows:

Score Depression severity Comments
0-2 Minimal or None Monitor, may not require treatment
3-5 Mild Use clinical judgement (symptom duration, functional impairment) to determine necessity of treatment
6-8 Moderate
9-12 Severe Warrants active treatment with psychotherapy, medications or combination


Final diagnosis should be made with clinical interview and mental status examination including assessment of patient's level of distress and functional impairment.