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Same You
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Turning Point Scotland
COVID-19 Guidance
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Physical Activity – The Single best Medicine
Social Prescribing
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Weight Management
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Healthy Eating
Eatwell Guide
Food allergy
Food and Nutrition
Food Standards Scotland
Vitamin B12 or folate deficiency anaemia
Long Term Conditions
Asthma
Chronic Obstructive Pulmonary Disease (COPD)
Breast Cancer (female)
Dementia
Dementia Care and Support
Dementia with Lewy bodies
Making Space
Diabetes
Type 1 Diabetes
Type 2 Diabetes
Diabetic retinopathy
Epilepsy
High Blood Pressure (Hypertension)
Heart Disease
Osteoarthritis
Prostate Cancer
Transient Ischaemic attack (TIA)
Support and advice for your heart condition
Menopause
Mental Wellbeing
Anxiety
Antidepressants
Breathing Space – Feeling Low, Anxious or Stressed?
Depression
Feeling down or anxious? Beating the Blues 24/7 can help…
Five steps to mental wellbeing
Managing emotional effects
Mental Health – General advice
Mind – For better Mental Health
Rethink Mental Illness
SAMH – For Scotland’s Mental Health
Samaritans
SANE
Scottish Mental Health Service for Deaf People
Suicidal?
Order a Repeat Prescription
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Baby Box
Diagnostic tests in Pregnancy
Newborn Hearing Test
Mid pregnancy scan (fetal anomaly scan)
Postnatal Depression
Pregnancy and Baby Payment
Ready Steady Baby!
Women and Families Maternal Mental Health Pledge
Preventative Medicine
Annual Health Check
Flu Vaccination
Pneumococcal vaccine for adults
Screening Services
Sexual Health & Sexuality
Contraceptive Advice
Getting and using Contraception
Sandyford
Free Condoms
LGBT Helpline Scotland information and support
Sexually transmitted disease
Young People
Young Scot
See Me
Ypeople
Self Help Guides
News
Menu
Home
About Us
Baby Friendly
Teaching & Research
Contact
Contact Telephone Numbers
Location
Opening Times
What to do when we are Closed
Send a Message
Making the Most of your Practice
Our Team
Doctors
Nurses
Practice Administration Team
Allied Nursing Team
Practice Pharmacist
Practice Policies
Access to your Health Records
Accessible Information Standard
Chaperones
Chaperone Policy
Clinical Governance
Clinical Research
Cookie Policy
Complaints
Confidentiality
Consent Protocol
Disability Access
Duty of Candour
Emergency Care Summary Record
Equality and Diversity
Freedom of Information
Information for young people using NHS services
Healthcare for refugees, asylum seekers and overseas visitors
Infection Control Statement
Quality Assurance
NHS Patient Rights
Non-Smoking Premises
Patient Advice and Support Service (PASS)
Privacy Policy
Removal of Patients From our List
Sharing your Information with Others
Subject Access Request (SAR) – Request your Records
Unacceptable Actions Policy
Website Terms and Conditions
Zero Tolerance
Regulations & Governance
Entitlement to NHS Treatment
Teenage Friendly
Administration
Get a Sick or Fit Note
Health Review Forms
Alcohol Consumption Review Form
Asthma Review Form
Blood Pressure Review Form
Breathlessness Review Form
Epilepsy Review Form
Male Urinary Tract (IPSS) Review Form
Mental Health Review (PHQ-9) Form
Smoking Review Form
Register with us as a New Patient
Temporary Services
Registration Policy
Update your Personal Details Forms
Change of Contact Details Form
Register as a Carer Form
Register for Online Services Form
Summary Care Record Opt-out Form
Communication Consent Form
Appointments, Tests & Referrals
Appointments
Book an Appointment
Cancel an Appointment
Extended Opening Hours
Get Immediate Help from Your Pharmacist
Get Immediate Help for Minor Injuries
Help with your GP Appointment
See a Doctor or Healthcare Professional
Tests & Investigations
Access your Test Results
Tests and Treatments
What is a Blood Test?
X-Ray
Referral for Further Care
Referral to Hospital by your GP
Clinics & Services
Clinics
Antenatal Care
Our Clinics
Child Health Checks
Diabetes Services & “My Diabetes My Way “
Travel Clinic & Holiday Vaccinations
Online Services
Practice Services
Chronic Medication Service
Dementia services
Interpreting Service
Hepatitis B Immunisation
Home Visits
Housebound & Older People
NHS Services
NHS Services – Rights & Responsibilities
Leaflets
Non NHS Services – Chargeable
Patient Transport Service
Pharmacy Collection Service
Texting Service
Services for Carers
Your Health
Alcohol & Drug Services
Children’s Health
Childline
Change4Life
Healthy Start – Vitamins in Scotland
Triple P – Positive Parenting Programme
Your Guide to Coughs, Colds, Earache & Sore Throats for your Child
Vaccination Schedule for Children
General Health Advice
Antibiotic Awareness
When to use Antibiotics
Back problems
Cough? Self-help guide
Diarrhoea and Vomiting – Dos and Don’ts
Scotland’s Health and Care News Channel
Managing your Infection
Strong painkillers and Driving
Help & Support
Care & Support
Age UK
Are you a Carer?
Asbestos
Bereavement
What to do after Death
Cancer in children and young people
Cancer Support Services
Care Information Scotland
Carers Scotland
Cruse Bereavement Care Scotland
Community Health or Social Care Service Glasgow
End of Life Care
Babies, children and young people
‘ Just in Case ‘ medicines
Questions and concerns about end of life care
Health Unlocked
NHS Pharmacy First
Orchid – Fighting Male Cancer
Organ Donation Scotland
Over 60 + or have a Disability? Eligible for free bus travel
Parkinson’s Disease
Penile Cancer
Same You
Social Care & Support
Scottish Refugee Council
Telecare – Try our self check online tool
The Brain Tumour Charity
Touched by Suicide Scotland
Turning Point Scotland
COVID-19 Guidance
Health & Wellbeing
Melanoma Action and Support Scotland
Falls risk screening
Testicular lumps and swellings
Muscle bones and joints
Testicular Cancer – Check Yourself
Help & Support in your Area
Community Connectors
Your Support Your Way Glasgow
The Good Morning Service
Disability
Autism
Action on Hearing Loss
Capability Scotland
Disability Information Scotland
Disability Rights UK
Hearing Loss
Learning Disabilities
National Autistic Society
Sense Scotland
Vision Impairment
Wheelchair users and Disabled People
Lifestyle Changes
Physical Activity – The Single best Medicine
Social Prescribing
Stop Smoking Service
Weight Management
Obesity
Healthy Eating
Eatwell Guide
Food allergy
Food and Nutrition
Food Standards Scotland
Vitamin B12 or folate deficiency anaemia
Long Term Conditions
Asthma
Chronic Obstructive Pulmonary Disease (COPD)
Breast Cancer (female)
Dementia
Dementia Care and Support
Dementia with Lewy bodies
Making Space
Diabetes
Type 1 Diabetes
Type 2 Diabetes
Diabetic retinopathy
Epilepsy
High Blood Pressure (Hypertension)
Heart Disease
Osteoarthritis
Prostate Cancer
Transient Ischaemic attack (TIA)
Support and advice for your heart condition
Menopause
Mental Wellbeing
Anxiety
Antidepressants
Breathing Space – Feeling Low, Anxious or Stressed?
Depression
Feeling down or anxious? Beating the Blues 24/7 can help…
Five steps to mental wellbeing
Managing emotional effects
Mental Health – General advice
Mind – For better Mental Health
Rethink Mental Illness
SAMH – For Scotland’s Mental Health
Samaritans
SANE
Scottish Mental Health Service for Deaf People
Suicidal?
Order a Repeat Prescription
Pregnancy & Baby
Baby Box
Diagnostic tests in Pregnancy
Newborn Hearing Test
Mid pregnancy scan (fetal anomaly scan)
Postnatal Depression
Pregnancy and Baby Payment
Ready Steady Baby!
Women and Families Maternal Mental Health Pledge
Preventative Medicine
Annual Health Check
Flu Vaccination
Pneumococcal vaccine for adults
Screening Services
Sexual Health & Sexuality
Contraceptive Advice
Getting and using Contraception
Sandyford
Free Condoms
LGBT Helpline Scotland information and support
Sexually transmitted disease
Young People
Young Scot
See Me
Ypeople
Self Help Guides
News
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Mental Health Review (PHQ-9) Form
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Mental Health Review (PHQ-9) Form
Mental Health Review (PHQ-9)
First Name
*
Last Name
*
Email
*
Enter Email
Confirm Email
*
Confirm Email
Date of birth
*
Please use format day/month/year e.g. 12/05/1979
Phone Number
*
Your Mental Health Review
Over the last 2 weeks, how often have you been bothered by any of the following problems?
Little interest or pleasure in doing things?
*
Not at all
Several days
More than half the days
Nearly every day
Feeling down, depressed, or hopeless?
*
Not at all
Several days
More than half the days
Nearly every day
Trouble falling or staying asleep, or sleeping too much?
*
Not at all
Several days
More than half the days
Nearly every day
Feeling tired or having little energy?
*
Not at all
Several days
More than half the days
Nearly every day
Poor appetite or overeating?
*
Not at all
Several days
More than half the days
Nearly every day
Feeling bad about yourself — or that you are a failure or have let yourself or your family down?
*
Not at all
Several days
More than half the days
Nearly every day
Trouble concentrating on things, such as reading the newspaper or watching television?
*
Not at all
Several days
More than half the days
Nearly every day
Moving or speaking so slowly that other people could have noticed? Or so fidgety or restless that you have been moving a lot more than usual?
*
Not at all
Several days
More than half the days
Nearly every day
Thoughts that you would be better off dead, or thoughts of hurting yourself in some way?
*
Not at all
Several days
More than half the days
Nearly every day
How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
*
Not at all
Several days
More than half the days
Nearly every day
PHQ-9 Score
Privacy Policy
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our
Privacy Policy
to discover how we protect and manage your submitted data.
*
I consent to the practice collecting and storing my data from this form.
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