Client Questionnaire Sue Complete the whole Form Before You Start Your Session Your Surname * Which Counsellor Sue Questionnaire (part 1) PHQ-9 Q1 – Have you found little pleasure or interest in doing things? * Never Few Days Most Days Almost Every Day Q2 – Have you found yourself feeling down, depressed or hopeless? * Never Few Days Most Days Almost Every Day Q3 -Have you had trouble falling or staying asleep, or sleeping too much? * Never Few Days Most Days Almost Every Day Q4 -How often have you been bothered by feeling tired or having little energy? * Never Few Days Most Days Almost Every Day Q5 – How often have you been bothered by poor appetite or overeating? * Never Few Days Most Days Almost Every Day Q6 -How often have you been bothered by feeling bad about yourself, or that you are a failure, or have let yourself or your family down? * Never Few Days Most Days Almost Every Day Q7 – How often have you been bothered by trouble concentrating on things, such as reading the newspaper or watching television? * Never Few Days Most Days Almost Every Day Q8 – How often have you been bothered by moving or speaking so slowly that other people could have noticed, or the opposite – being so fidgety or restless that you have been moving around a lot more than usual? * Never Few Days Most Days Almost Every Day Q9 – Thoughts that you would be better off dead, or of hurting yourself in some way? * Never Few Days Most Days Almost Every Day Questionnaire (part 2) GAD-7 Q1 – How often have you been bothered about feeling nervous, anxious or on edge? * Never Few Days Most Days Almost Every Day Q2 – How often have you been bothered by not being able to stop or control worrying? * Never Few Days Most Days Almost Every Day Q3 – How often have you been bothered by worrying too much about different things? * Never Few Days Most Days Almost Every Day Q4 – How often have you been bothered by having trouble relaxing? * Never Few Days Most Days Almost Every Day Q5 – How often have you been bothered by being so restless that it is hard to sit still? * Never Few Days Most Days Almost Every Day Q6 – How often have you been bothered by becoming easily annoyed or irritable? * Never Few Days Most Days Almost Every Day Q7 – How often have you been bothered by feeling afraid as if something awful might happen? * Never Few Days Most Days Almost Every Day Data Protection Statement Paragraph Signature Clear Submit If you are human, leave this field blank.