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Mental health screening (PHQ-style)
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Healthcare

Mental health screening (PHQ-style)

Mental health screening (PHQ-style) template with ready-made questions — customize the wording, publish it, and start collecting responses in minutes.

8 fields Ready to publish

What's included

  • 1
    Over the past 2 weeks, how often have you felt down or hopeless?
    Not at all · Several days · More than half the days · Nearly every day
    RequiredDropdown
  • 2
    How often have you had little interest in doing things?
    Not at all · Several days · More than half the days · Nearly every day
    RequiredDropdown
  • 3
    How would you rate your sleep?
    Rating
  • 4
    Anything you'd like to share?
    Long text
  • 5
    Name (optional)
    Short text
  • 6
    Phone
    Phone
  • 7
    Date of birth
    Date
  • 8
    Preferred appointment date
    Date

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