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PHQ-9 & GAD-7 Form Template

Streamline Mental Health Assessments with Our Forms

Identifying mental health concerns can be time-consuming and challenging for healthcare providers. Our PHQ-9 and GAD-7 form template is designed for professionals who want to effectively evaluate depression and anxiety in their patients. With this fillable format, you can simplify patient assessments, track progress easily, and improve communication while adhering to confidentiality standards. Plus, the template is accessible, featuring WCAG-aligned labels, ensuring all patients can engage with it effortlessly. Start enhancing your patient care process today with our live template.

Use this Template (FREE) Live Preview
Do you understand that this screening is for self-assessment only and is not a diagnosis or a substitute for professional care?
Yes
No
Are you currently experiencing an emergency or immediate risk of harm to yourself or others?
Yes
No
Prefer not to say
Email address (optional)
Phone number (optional)
Age (optional)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
If you prefer to self-describe your gender, please specify (optional)
Gender (optional)
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
1. Little interest or pleasure in doing things
Not at all
Several days
More than half the days
Nearly every day
2. Feeling down, depressed, or hopeless
Not at all
Several days
More than half the days
Nearly every day
3. Trouble falling or staying asleep, or sleeping too much
Not at all
Several days
More than half the days
Nearly every day
4. Feeling tired or having little energy
Not at all
Several days
More than half the days
Nearly every day
5. Poor appetite or overeating
Not at all
Several days
More than half the days
Nearly every day
6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down
Not at all
Several days
More than half the days
Nearly every day
7. Trouble concentrating on things, such as reading or watching television
Not at all
Several days
More than half the days
Nearly every day
8. Moving or speaking so slowly that other people could have noticed, or being so fidgety or restless that you were moving around more than usual
Not at all
Several days
More than half the days
Nearly every day
9. Thoughts that you would be better off dead, or of hurting yourself
Not at all
Several days
More than half the days
Nearly every day
If you checked 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 all
Somewhat difficult
Very difficult
Extremely difficult
1. Feeling nervous, anxious, or on edge
Not at all
Several days
More than half the days
Nearly every day
2. Not being able to stop or control worrying
Not at all
Several days
More than half the days
Nearly every day
3. Worrying too much about different things
Not at all
Several days
More than half the days
Nearly every day
4. Trouble relaxing
Not at all
Several days
More than half the days
Nearly every day
5. Being so restless that it is hard to sit still
Not at all
Several days
More than half the days
Nearly every day
6. Becoming easily annoyed or irritable
Not at all
Several days
More than half the days
Nearly every day
7. Feeling afraid as if something awful might happen
Not at all
Several days
More than half the days
Nearly every day
If you checked 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 all
Somewhat difficult
Very difficult
Extremely difficult
Type your full name as your signature (optional)
Date
Would you like to receive a copy of your responses by email?
Yes
No
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Paper art illustration depicting PHQ-9 and GAD-7 form templates for mental health assessment and form creation.

When to use this form

Use this combined screening form when you need a fast, validated check of depression and anxiety in primary care, counseling, or telehealth. Add it to your intake packet for new patients, pre-visit check-ins, or weekly follow-ups to track change over time. It works for adolescents and adults and helps you triage risk, start a conversation, and measure treatment response. If you only need a depression scale, you can use the PHQ-9 Rating scale form. For broader context across cognition, mood, and function, pair results with a Psychological assessment form. In stepped care, use scores to guide brief interventions, trigger safety plans, or document outcomes for quality reporting and referrals.

Must Ask PHQ-9 & GAD-7 Questions

  1. Over the last 2 weeks, how often have you been bothered by little interest or pleasure in doing things?

    This captures anhedonia, a core sign of depressive disorders. Tracking it over time shows whether treatment is restoring motivation and enjoyment.

  2. Over the last 2 weeks, how often have you been bothered by feeling down, depressed, or hopeless?

    This item identifies low mood and helps you establish baseline severity for monitoring. If you need a clinician-rated alternative for deeper assessment, consider the Hamilton depression rating scale form.

  3. Over the last 2 weeks, how often have you been bothered by feeling nervous, anxious, or on edge?

    This flags persistent anxiety and physiological arousal. It helps you decide whether to focus care on anxiety management skills or medication evaluation.

  4. Over the last 2 weeks, how often have you been bothered by not being able to stop or control worrying?

    Uncontrollable worry is central to generalized anxiety. Clear frequency options improve consistency and guide CBT, mindfulness, or referral decisions.

  5. If you checked 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?

    Functional impact determines urgency, level of care, and safety planning. It also shows progress that matters to patients and payers, beyond symptom totals.

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