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📋 Your private PHQ-9 score (0–27) and what it may mean
🧭 A clear, personalised next step for your result
🌱 Optional food, sleep and daily-routine support ideas
🤝 When to seek professional help, with crisis resources

A 2-minute mood check-in

This questionnaire asks about 9 specific symptoms of depression that doctors look for. Answer honestly; there are no right or wrong answers. Your responses go nowhere, everything is calculated in your browser.

How the PHQ-9 works

For each question, you'll rate how often you've experienced that symptom over the last 2 weeks. The 9 items directly match the diagnostic criteria for depression in the DSM-5. A total score of 10 or above is the standard cutoff for clinically significant depression, with 88% sensitivity and 88% specificity in the original validation study.

After your score, you'll see a clear next step plus an optional support guide you can open at your own pace, covering food and daily routine, sleep and movement, and when to seek professional help.

Frequently asked questions

What is the PHQ-9 and how accurate is it?
The PHQ-9 (Patient Health Questionnaire-9) is the world's most widely used depression screening tool, validated in a combined sample of over 6,000 primary care and obstetrics-gynaecology patients. At the standard cutoff of 10 or higher, it detects Major Depressive Disorder with 88% sensitivity and 88% specificity, performance similar to a structured psychiatric interview in most clinical settings. It is recommended by the WHO, NHS, NIMHANS, and most Indian public health guidelines.
How is the PHQ-9 scored?
The PHQ-9 has 9 questions, each scored from 0 (not at all) to 3 (nearly every day). The total ranges from 0 to 27: 0 to 4 is minimal or none, 5 to 9 is mild, 10 to 14 is moderate, 15 to 19 is moderately severe, and 20 to 27 is severe depression. Item 9 (thoughts of self-harm) is always reviewed separately, regardless of the total score.
Is this tool a diagnosis?
No. The PHQ-9 is a validated screening instrument, not a diagnostic tool. A high score means a formal evaluation by a qualified mental health professional is warranted, not that a diagnosis has been made. This tool provides educational information only and cannot replace the judgement of a licensed clinician. If you score 10 or above, please discuss your result with your doctor.
Can diet really help with depression?
There is encouraging clinical trial evidence. The SMILES trial (2017), run in a sample of 67 people with moderate to severe depression, found that a modified Mediterranean diet led to a 32% remission rate after 12 weeks, compared with 8% on a social support control, a statistically significant difference roughly comparable in size to antidepressant response rates seen in other trials. The HELFIMED trial found similar benefit from a Mediterranean diet plus fish oil. This supports nutrition as a genuinely useful adjunct to standard care, not a replacement for it.
What did the SMILES trial find about diet and depression?
SMILES was the first randomised controlled trial to test dietary improvement as a direct treatment for existing clinical depression, rather than as prevention. Over 12 weeks, the modified Mediterranean diet group reached a 32.3% remission rate versus 8.0% for the social support control, with a number needed to treat of about 4. Because the sample was small (67 participants), the result is best read alongside its replications, such as the HELFIMED trial, rather than in isolation.
How much omega-3 is recommended for depression?
The ISNPR consensus guideline (Guu et al., 2019) recommends 1 to 2 grams of net EPA daily as an adjunctive treatment for MDD, using either pure EPA or an EPA-to-DHA ratio greater than 2:1. DHA-predominant formulations have consistently failed to separate from placebo in trials. Fish oil, krill oil, or algae-based EPA supplements all qualify. Effects typically become apparent after 6 to 8 weeks of consistent use.
What is L-methylfolate and why is it used for depression?
L-methylfolate is the active, bioavailable form of folate (vitamin B9). It bypasses the MTHFR enzyme step, which is impaired in a meaningful share of the population, and feeds directly into the pathway that builds serotonin, dopamine, and norepinephrine. CANMAT 2016 lists 15 mg/day as a third-line add-on for people who have only partially responded to an SSRI (32% response versus 15% with placebo augmentation in the supporting trial), not as a standalone antidepressant.
Which Indian foods are best for mood?
Several traditional Indian foods have reasonable supporting evidence: turmeric (curcumin's anti-inflammatory action), flaxseed and walnuts (plant-based omega-3), fermented foods like curd, idli, and dosa (gut microbiome support), millets like ragi and bajra (low glycaemic load, selenium, zinc), soya (tryptophan and isoflavones), dal and legumes (folate), and dark leafy greens like palak and methi (folate, magnesium, B6).
What should I do if I score in the severe range?
A PHQ-9 score of 20 to 27 indicates severe depression and calls for prompt professional evaluation. Please contact your doctor, a psychiatrist, or a hospital emergency department. In India, free phone support is available through iCall (9152987821) and the Vandrevala Foundation (1860-2662-345, 24 hours).
Is this tool private and free?
Yes, completely. No account, email address, or personal information is required, and there is no charge. All PHQ-9 calculations happen locally in your browser. Your answers are never sent to any server, stored in any database, or shared with anyone. Only a temporary session record is kept in your browser's local memory so you can resume if you navigate away.

⚕️ Clinical Disclaimer: This is a screening tool, not a diagnosis. The PHQ-9 is a validated screening instrument (Kroenke & Spitzer, 2001) reproduced here for educational and informational purposes only, and it cannot replace evaluation by a qualified clinician. Any food, sleep and lifestyle ideas shown are general, evidence-informed wellbeing suggestions (SMILES trial, WFSBP/ASLM 2023, ISNPR guidelines, CANMAT 2016, ICMR-NIN DGI 2024), not a treatment for depression. Speak with a qualified doctor or registered dietitian before changing your diet, supplements, or medication. If you are in mental health crisis, contact emergency services or a crisis helpline immediately.