Mental Health Form PHQ9 and GAD7Over the past two weeks, how often have you been bothered by the following problems?Please enable JavaScript in your browser to complete this form.Little interest or pleasure in doing things Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayFeeling down, depressed or hopeless Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayTrouble falling or staying asleep, sleeping too much Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayFeeling tired or having little energy Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayPoor appetite or overeating Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayFeeling bad about yourself-or that you are a failure or have let yourself or family down Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayTrouble concentrating on things, such as reading the newspaper or watching television Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayMoving or speaking so slowly that other people could have noticed. Or the opposite – being so fidgety or restlss that you have been moving around a lot more than usual Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayThoughts that you would be better off dead or of hurting yourself in some way Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayTotal Score *Mild depression = 5-10 Moderate depression = 10-18 Severe Depression = 19-27If you checked off any problems, 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?Not difficult at allSomewhat difficultVery difficultExtremely difficultGAD7Feeling nervous, anxious or on edge Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayNot being able to stop or control worrying Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayWorrying too much about different things Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayTrouble relaxing Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayBeing so restless that it's hard to sit still Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayBecoming easily annoyed or irritable Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayFeeling afraid as if something awful might happen Selected Value: 0 0-Not at all 1-Several Days 2-More than half the days 3-Nearly everydayTotal Score *If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other peopleNot difficult at allSomewhat difficultVery difficultExtremely difficultName *FirstLastEmail *Healthcare Number *Your provincial care card numberSubmit