Patient Health Questionnaire 15-item Somatic Symptom Scale (PHQ-15)

A 15-item questionnaire about how bothersome common physical symptoms were during the past four weeks. The total describes symptom burden but does not identify a cause or diagnose a disorder. Read more.

During the past 4 weeks, how much have you been bothered by any of the following problems?

Free, no account needed. Your score appears when you finish.

0 of 15

1. Stomach pain

2. Back pain

3. Pain in your arms, legs, or joints (knees, hips, etc.)

WOMEN ONLY

4. Menstrual cramps or other problems with your periods

5. Headaches

6. Chest pain

7. Dizziness

8. Fainting spells

9. 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

Notes for yourself (optional)

Only you see these. They are saved only if you create an account and save this result, and providers you later share your results with can read saved notes.

0/1000

Source: Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002;64(2):258-266. If you hold the rights to a questionnaire on Survey Doctor, please contact us.