A self-assessment questionnaire is sent to clients before their first therapy session and after every six therapy sessions thereafter. Completing the self-assessment questionnaire is optional.
The questionnaire combines the “Patient Health Questionnaire (PHQ9)” and the “Generalised Anxiety Disorder Assessment (GAD7)”, and includes the questions below. The additional written questions included in the initial self-assessment questionnaire can be found here.
Part One : Over the last two weeks of your life, how often have you been bothered by the following problems?
Possible Answers : Not at all (0), Several days (1), More than half the days (2), Nearly every day (3)
Little interest or pleasure in doing things? |
Feeling down, depressed, or hopeless? |
Trouble falling or staying asleep, or sleeping too much? |
Feeling tired or having little energy? |
Poor appetite or overeating? |
Feeling bad about yourself - or that you are a failure or have let yourself or your family down? |
Trouble concentrating on things, such as reading the newspaper or watching television? |
Moving or speaking so slowly that other people could have noticed? Or the opposite; being so fidgety or restless that you have been moving around a lot more than usual? |
Thoughts that you would be better off dead, or of hurting yourself in some way? |
Part Two : Over the last two weeks of your life, how often have you been bothered by the following problems?
Possible Answers : Not at all (0), Several days (1), More than half the days (2), Nearly every day (3)
Feeling nervous, anxious or on edge? |
Not being able to stop or control worrying? |
Worrying too much about different things? |
Trouble relaxing? |
Being so restless that it is hard to sit still? |
Becoming easily annoyed or irritable? |
Feeling afraid as if something awful might happen? |