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    Anxiety · 4 items · 0–12 · Kroenke K, Spitzer RL, Williams JBW, Löwe B (2009). Psychosomatics.

    Patient Health Questionnaire-4: Scoring, Cutoffs & Interpretation

    Four-item ultra-brief screen for anxiety and depression (GAD-2 plus PHQ-2).

    PHQ-40 / 4

    Over the last two weeks, how often have you been bothered by…

    Scored locally - nothing leaves this page

    01Feeling nervous, anxious, or on edge.
    02Not being able to stop or control worrying.
    03Little interest or pleasure in doing things.
    04Feeling down, depressed, or hopeless.
    0 of 40 / 12

    02 - The clinician's brief

    01 - Scoring & cutoffs

    How scoring works.

    Score
    Severity
    Interpretation
    0–2
    Normal
    Minimal symptoms.
    3–5
    Mild
    Mild distress. An anxiety (items 1-2) or depression (items 3-4) subscale of 3 or more is a positive screen.
    6–8
    Moderate
    Moderate distress.
    9–12
    Severe
    Severe distress. Further assessment recommended.

    Related scales

    Instruments clinicians often use alongside this one

    anxiety

    GAD-7

    Generalised Anxiety Disorder-7

    Generalized Anxiety Disorder 7-item scale. Screening tool and severity measure for generalised anxiety.

    Open scale

    depression

    PHQ-9

    Patient Health Questionnaire-9

    Validated 9-item self-report measure for screening and assessing the severity of depression.

    Open scale

    anxiety

    GAD-2

    Generalised Anxiety Disorder-2

    Two-item ultra-brief screen for anxiety - the first two questions of the GAD-7.

    Open scale

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