PHQ-15 Somatic Symptom Test — Free 15-Question Self-Check

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A free somatic symptom check: how much headaches, stomach pain, dizziness, chest tightness and other bodily symptoms have troubled you over the past four weeks, in 15 questions. About four minutes, with a 0-30 score and four severity bands.

What's included

Questions
15 items
Price
Free
Areas measured
Somatic Symptom Severity
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When this check is useful

Sometimes headaches, indigestion, dizziness or a tight chest keep coming back even when medical tests find no clear cause. The symptoms may ease after a busy stretch and flare again when stress piles up, or several kinds of discomfort may arrive at once. Mental strain often speaks first through the body, so if a pattern like this has lasted close to a month, it is worth taking stock of the whole picture of your physical symptoms.

The PHQ-15 is a standard screening scale that asks, for 15 bodily symptoms commonly seen in primary care (stomach pain, back pain, joint pain, headache, chest pain, dizziness, a racing heart, shortness of breath, digestive trouble, fatigue, sleep difficulty and others), how much each has bothered you in the past four weeks on a 0-2 scale. It does not identify the cause of symptoms; it summarises how broad and heavy your physical discomfort feels in a single number. That makes it useful when your body seems to be sending signals in many ways that are hard to put into words, or when you want to see how stress and your body are connected.

What to do with your result

A score of 0-4 means few bodily symptoms that would interfere with daily life. A score of 5-9 is mild: keep a regular sleep schedule, cut back on caffeine and alcohol, and add habits that release physical tension such as a short walk or relaxed breathing. Recheck in about four weeks to see whether the score comes down, which lets you confirm the link between stress and your symptoms for yourself.

A score of 10-14 indicates moderate somatic symptoms, and discomfort in several areas is probably affecting your daily life. If you have not yet seen a doctor, start by ruling out physical causes with a physician; if tests show nothing specific, or a cause is known but the distress remains heavy, consider adding a mental health consultation. A score of 15-30 suggests widespread and severe physical discomfort, and we recommend a professional evaluation as soon as you can. This check does not replace a medical diagnosis or the work-up of physical illness, so sudden or severe pain, difficulty breathing or fainting should be seen by a doctor right away regardless of the score.

Somatic symptoms often move together with depression and anxiety, so taking the PHQ-9 depression screen, the GAD-7 anxiety check and the PSS stress check alongside this one helps you understand where the body's signals are coming from. If worry about your health feels unusually strong, add the health anxiety check as well. Repeating about once every four weeks lets you read the trend without being swayed by a single day's condition.

How scores are interpreted

Somatic Symptom Severity

A scale indicating the severity of somatic symptoms.

  • 0–4pts · Minimal somatic symptoms

    There are almost no somatic symptoms that would interfere with your daily functioning.

  • 5–9pts · Mild somatic symptoms

    You have mild somatic symptoms. Stress management may be helpful.

  • 10–14pts · Moderate somatic symptoms

    You have moderate somatic symptoms. Further evaluation or seeking help from a mental health professional is recommended.

  • 15–30pts · Severe somatic symptoms

    You are experiencing extensive physical discomfort at a severe level. Professional evaluation and counseling are recommended.

Sample questions

  1. 1. Stomach pain
  2. 2. Back pain
  3. 3. Pain in your arms, legs, or joints (knees, hips, etc.)
  4. 4. Menstrual cramps or other problems during your periods (women only)

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

FAQ

How do I interpret my PHQ-15 score?

Each of the 15 items scores 0-2 (not bothered at all, bothered a little, bothered a lot), for a total of 0-30. Read 0-4 as minimal, 5-9 as low, 10-14 as medium and 15-30 as high somatic symptom severity. The score gauges how broad and heavy your bodily discomfort has been over the past four weeks; it is not a diagnosis of any specific illness.

My symptoms are physical — why is this in a mental health check?

Stress, anxiety and depression frequently show up as bodily symptoms through the autonomic nervous system, muscle tension, digestion and sleep. So when several areas keep feeling unwell and tests find no clear cause, looking at your mental state alongside your body helps recovery. Physical illness can of course be the cause, so it is important to have a doctor check the physical side first.

How should I answer items that do not apply to me?

For items that do not apply to you, such as the one about menstrual pain, choose "not bothered at all" (0 points). The original scale also treats non-applicable items as 0, so the total-score interpretation still holds. For the rest, think about the past four weeks and rate not whether the symptom occurred, but how much it troubled you.

At what score should I see a doctor?

From 10 points up, consider a mental health consultation alongside a medical visit to check for physical causes; from 15 points up, we recommend a professional evaluation as soon as possible. This check does not replace a medical assessment, so even with a low score, new severe pain, difficulty breathing, fainting or weight loss should be seen by a doctor right away.

Source

The items in this test are a self-check adaptation based on the original instrument and literature below: Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64(2), 258–266.

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This is a self-screening tool, not a medical diagnosis. If the result concerns you, please consult a mental health professional.

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