This questionnaire is used for screening, diagnosing, monitoring and measuring the severity of depression.
Over the last 2 weeks, how often have you been bothered by any of the following problems?
Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
I consent to my information being used for the purposes described above and wish to submit this online form to Ashby Turn Primary Care Centre • The Link, Scunthorpe, North Lincolnshire, DN16 2UT.
Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.
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