Provider responsibility
A licensed provider completes the clinical findings, signs, and dates the questionnaire. A veteran should not fill in medical findings for the provider.
Mental Disorders (Other Than PTSD and Eating Disorders)
This questionnaire is available for public use from VA and is completed by a licensed health care provider.
Official VA file
Open the current public questionnaire.
Confirm the PDF update date and instructions with the provider before the examination.
VA may still examine
VA may verify the information or request another examination. A privately completed DBQ does not guarantee a decision or percentage.
Private exam cost
VA states it does not reimburse private providers for completing a DBQ. A VA-requested compensation examination is generally provided at no cost.
Reviewed knowledge-base connections
Conditions mapped to this DBQ
These links are explicit reviewed mappings, not keyword guesses.
SchizophreniaDelusional disorderOther specified and unspecified schizophrenia spectrum and other psychotic disordersSchizoaffective disorderDeliriumMajor or mild neurocognitive disorder due to HIV or other infectionsMajor or mild neurocognitive disorder due to traumatic brain injuryMajor or mild vascular neurocognitive disorderUnspecified neurocognitive disorderMajor or mild neurocognitive disorder due to Alzheimer's diseaseMajor or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorderGeneralized anxiety disorderSpecific phobia; social anxiety disorder (social phobia)Obsessive compulsive disorderOther specified anxiety disorderPanic disorder and/or agoraphobiaUnspecified anxiety disorderDissociative amnesia; dissociative identity disorderDepersonalization/Derealization disorderSomatic symptom disorderOther specified somatic symptom and related disorderUnspecified somatic symptom and related disorderConversion disorder (functional neurological symptom disorder)Illness anxiety disorderCyclothymic disorderBipolar disorderPersistent depressive disorder (dysthymia)Major depressive disorderUnspecified depressive disorderChronic adjustment disorder