PHQ-9 Depression Screening Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Contact NumberPlease respond to the following questions based on your recent experiences:Scoring: 0=Not at all, 1=Several days, 2=More than half the days, 3=Nearly every dayLittle interest or pleasure in doing things Selected Value: 0 Feeling down, depressed, or hopeless Selected Value: 0 Trouble falling or staying asleep, or sleeping too much Selected Value: 0 Feeling tired or having little energy Selected Value: 0 Poor appetite or overeating Selected Value: 0 Feeling bad about yourself or that you are a failure Selected Value: 0 Trouble concentrating on things Selected Value: 0 Moving or speaking so slowly or being fidgety/restless Selected Value: 0 interest hopeless Email Thoughts that you would be better off dead Selected Value: 0 Submit GAD-7 Anxiety Screening Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Contact NumberPlease respond to the following questions based on your recent experiences:Scoring: 0=Not at all, 1=Several days, 2=More than half the days, 3=Nearly every dayFeeling nervous, anxious, or on edge Selected Value: 0 it about being Not being able to stop or control worrying Selected Value: 0 Worrying too much about different things Selected Value: 0 Trouble relaxing Selected Value: 0 Being so restless that it is hard to sit still Selected Value: 0 Becoming easily annoyed or irritable Selected Value: 0 Feeling afraid as if something awful might happen Selected Value: 0 Submit ADHD Self-Report Scale (ASRS v1.1) Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Contact NumberPlease respond to the following questions based on your recent experiences:Scoring: 0=Not at all, 1=Several days, 2=More than half the days, 3=Nearly every dayDifficulty wrapping up final details of a project Selected Value: 0 Difficulty organizing tasks Selected Value: 0 Problems remembering appointments/obligations Selected Value: 0 Avoiding tasks requiring sustained mental effort Selected Value: 0 Fidgeting or squirming in your seat Selected Value: 0 Feeling restless or moving excessively Selected Value: 0 Problems up Difficulty Difficulty waiting your turn in situations Selected Value: 0 Interrupting or intruding on others Selected Value: 0 Submit Binge Eating Disorder Screening (BEDS-7) Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Contact NumberPlease respond to the following questions based on your recent experiences:Scoring: 0=Not at all, 1=Several days, 2=More than half the days, 3=Nearly every dayFelt you ate an unusually large amount of food? Selected Value: 0 Felt out of control while eating? Selected Value: 0 Eaten until uncomfortably full? Selected Value: 0 of Felt or Eaten large amounts of food when not physically hungry? Selected Value: 0 Felt embarrassed by how much you ate? Selected Value: 0 Felt disgusted, depressed, or guilty after eating? Selected Value: 0 Felt very upset about binge eating episodes? Selected Value: 0 Submit
