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PHQ-9 and ASQ Scores
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ID number
Your answer
Month and Year
Your answer
PHQ-A Scoring Instructions
Total questions 1-9.
Add one point if they answered 'yes' to question 10.
Score question 11 as a 0,1,2,3 from left to right.
Add all numbers together and enter total below.
Total Score for PHQ-A
Your answer
Total Score for ASQ - Score is 1 point for all Yes answers (range (0-5)
Your answer
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