Somatic symptoms and health anxiety

Patient Health Questionnaire-15 (PHQ-15)

Symptom measurement requiring clinical interpretation

Reference information · Questionnaire
Last content update
2026-10-26
Clinical review
Not independently reviewed
Source jurisdiction
See individual sources
Coverage
Questionnaire
What changed in this edition
FieldInstrument context
VersionEnglish physical symptoms form; Consortium 12 May 2013
PopulationAdults for whom all source items can be rated
RespondentSelf-report with clinician interpretation
Recall periodLast 4 weeks
PurposeSymptom measurement requiring clinical interpretation
Assessment tool

During the last 4 weeks, how much have you have been bothered by any of the following problems? Please place a check mark in the box to indicate your answer. The source marks the menstrual symptom item women only. This implementation requires all 15 ratings and does not impute inapplicable responses. If an item cannot be answered, leave it blank and obtain clinician review; no total is produced.

01 Stomach pain
02 Back pain
03 Pain in your arms, legs, or joints (knees, hips, etc)
04 Menstrual cramps or other problems with your periods [women only]
05 Headaches
06 Chest pain
07 Dizziness
08 Fainting spells
09 Feeling your heart pound or race
10 Shortness of breath
11 Pain or problems during sexual intercourse
12 Constipation, loose bowels, or diarrhea
13 Nausea, gas, or indigestion
14 Feeling tired or having low energy
15 Trouble sleeping

Responses stay in this page’s memory. Reset or leave the page to clear them. No patient identifiers are collected.

Interpretation & limitations

References · 1
  1. Selected full original form and scoring · The selected original form explicitly permits reproduction, translation, display and distribution without further permission.

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