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1900 F Street
Geneva, NE 68361

(402) 759-3167

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Behavorial Questionnaire: PHQ-9

Over the last 2 weeks, how often have you been bothered by any of the following problems?
Little interest or pleasure in doing things.(Required)
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Feeling down, depressed, or hopeless(Required)
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Trouble falling or staying asleep, or sleeping too much(Required)
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Feeling tired or having little energy(Required)
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Poor appetite or overeating(Required)
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Feeling bad about yourself or that you are a failure or have let yourself or your family down(Required)
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Trouble concentrating on things, such as reading the newspaper or watching television(Required)
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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(Required)
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Thoughts that you would be better off dead, or of hurting yourself in some way(Required)
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This field is for validation purposes and should be left unchanged.
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1900 F Street Geneva, NE 68361 • (402) 759 - 3167

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FCH is an Equal Opportunity Provider and Employer

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1900 F Street
Geneva, NE 68361

402-759-3167