MSU Olin Student Health Center
密歇根州立大学Olin学生健康中心
Patient Health Questionnaire (PHQ-9)
患者健康问卷
albinism□ Initial Screening 首次检测□ Follow Up 跟踪检测□ Annual Screening 年度检测Name 姓名_______________ Student # 学生证号 ____________ Date 日期 __________ This questionnaire will help your health provider to improve your treatment. Simply circle your answer to the questions below. Plea give your completed form to a health professional.
这份问卷将帮助您的医疗服务人员改善对您的医疗方案。请圈出您对于以下问题的答案，并且将完成的问卷提交给专业医疗人士。when you were my girl
Over the last two weeks, how often have you been bothered by any of the following problems?
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在过去的两周里，您感觉自己被以下症状所困扰的频率是？a d
If your total score is greater than or equal to three, plea continue with questions 3-10 on the back.
刀子的英文如果您的总分等于或大于3，请翻页回答第3至第10题。平安夜英文歌词
Provider Signature 答卷人签名__________________________ Date 日期_________________ *NOTE: This document will be scanned into your medical record.
Name姓名______________________ Student #学生证号________________ Date日期___________ Over the last two weeks, how often have you been bothered by any of the following problems?
勉强英文在过去的两周里，您感觉自己被以下症状所困扰的频率是？
国庆节快乐 英文
电台在线收听
*NOTE: This document will be scanned into your medical record.
补妆
