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PHQ9-alt
First Name
Last Name
Timing
--None--
Admissions
During Treatment
Discharge
30 days post discharge
60 days post discharge
90 days post discharge
6 months post discharge
1 year post discharge
2 years post discharge
Day of Admission
phq91:
--None--
Not at All
Several Days
More Than Half the Days
Nearly Every Day
phq92:
--None--
Not at All
Several Days
More Than Half the Days
Nearly Every Day
phq93:
--None--
0 - Not at All
1 - Several Days
2 - More Than Half the Days
3 - Nearly Every Day
phq94:
--None--
0 - Not at All
1 - Several Days
2 - More Than Half the Days
3 - Nearly Every Day
phq95:
--None--
0 - Not at All
1 - Several Days
2 - More Than Half the Days
3 - Nearly Every Day
phq96:
--None--
0 - Not at All
1 - Several Days
2 - More Than Half the Days
3 - Nearly Every Day
phq97:
--None--
0 - Not at All
1 - Several Days
2 - More Than Half the Days
3 - Nearly Every Day
phq98:
--None--
0 - Not at All
1 - Several Days
2 - More Than Half the Days
3 - Nearly Every Day
phq99:
--None--
0 - Not at All
1 - Several Days
2 - More Than Half the Days
3 - Nearly Every Day
phq9difficulty:
--None--
Not Difficult At All
Somewhat Difficult
Very Difficult
Extremely Difficult
