Brief Anxiety / Depression Screener Model (PHQ-9 and GAD-7) Anxiety/Depression Screener (Parent/Caregiver Version) Name: Emotional Health Quick ScreenerAges: 8–17Instructions: Over the past two weeks, how often has your child experienced the following? Circle the answer that fits best.Q1. Seems sad or down *Not at allSeveral daysMore than half the daysNearly every dayQ2. Seems worried or anxious *Not at allSeveral daysMore than half the daysNearly every dayQ3. Has little interest or pleasure in things *Not at allSeveral daysMore than half the daysNearly every dayQ4. Trouble sleeping or sleeping too much *Not at allSeveral daysMore than half the daysNearly every dayQ5. Complains of headaches or stomachaches with no medical reason *Not at allSeveral daysMore than half the daysNearly every dayQ6. Is more irritable or angry than usual *Not at allSeveral daysMore than half the daysNearly every dayQ7. Has trouble concentrating *Not at allSeveral daysMore than half the daysNearly every dayQ8. Seems overly worried about bad things happening *Not at allSeveral daysMore than half the daysNearly every dayQ9. Says or seems to feel hopeless *Not at allSeveral daysMore than half the daysNearly every dayTotal ScoreSubmit
