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Bike Run

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Add a new assessment and link it to an activity.


Date:
Link to an activity - select the date:
General notes

WORK - if you are retired or choose not to have a job for reasons unrelated to your problem please ignore.

WASA HOME MANAGEMENT - Cleaning, tidying, shopping, cooking, looking after home/children, paying bills etc

WASA SOCIAL LEISURE ACTIVITIES - With other people, e.g. parties, pubs, outings, entertaining etc

WASA PRIVATE LEISURE ACTIVITIES - Done alone, e.g. reading, gardening, sewing, hobbies, walking etc

WASA FAMILY AND RELATIONSHIPS - Form and maintain close relationships with others including the people that I live with


PHQ9a Little interest or pleasure in doing things

PHQ9b Feeling down, depressed, or hopeless

PHQ9c Trouble falling or staying asleep, or sleeping too much

PHQ9d Feeling tired or having little energy

PHQ9e Poor appetite or overeating

PHQ9f Feeling bad about yourself - or that you are a failure or have let yourself or your family down

PHQ9g Trouble concentrating on things, such as reading the newspaper or watching television

PHQ9h 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

PHQ9i Thoughts that you would be better off dead or of hurting yourself in some way