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PHQ-15 · 15 questions · about 3 min · answers are not stored

PHQ-15 physical symptoms questionnaire

Fifteen common physical symptoms, from headaches to trouble sleeping. Physical symptoms have many medical causes, so a raised score is a reason to see a doctor, not a psychological explanation.

This is a screening questionnaire, not a diagnosis. If you are in danger right now, contact your local emergency number or see the crisis page.

During the past 4 weeks, how much have you been bothered by any of the following problems?

1. Stomach pain

Not bothered at all Bothered a little Bothered a lot

2. Back pain

Not bothered at all Bothered a little Bothered a lot

3. Pain in your arms, legs, or joints (knees, hips, etc.)

Not bothered at all Bothered a little Bothered a lot

4. Menstrual cramps or other problems with your periods

Not bothered at all Bothered a little Bothered a lot Does not apply to me

5. Headaches

Not bothered at all Bothered a little Bothered a lot

6. Chest pain

Not bothered at all Bothered a little Bothered a lot

7. Dizziness

Not bothered at all Bothered a little Bothered a lot

8. Fainting spells

Not bothered at all Bothered a little Bothered a lot

9. Feeling your heart pound or race

Not bothered at all Bothered a little Bothered a lot

10. Shortness of breath

Not bothered at all Bothered a little Bothered a lot

11. Pain or problems during sexual intercourse

Not bothered at all Bothered a little Bothered a lot

12. Constipation, loose bowels, or diarrhea

Not bothered at all Bothered a little Bothered a lot

13. Nausea, gas, or indigestion

Not bothered at all Bothered a little Bothered a lot

14. Feeling tired or having low energy

Not bothered at all Bothered a little Bothered a lot

15. Trouble sleeping

Not bothered at all Bothered a little Bothered a lot

Your answers are scored for this one page and are not saved anywhere.

Source. Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64(2), 258-266.

Licence. Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.

Official source