Depression Screening
DASS-21
NAME--AUTOFILL
The DASS 21 is a 21 item self-report questionnaire designed to measure the severity of a range of symptoms common to depression, anxiety and stress. While completing the DASS, you are required to indicate the presence of a symptom over the previous week.
Please read each statement and click the circle next to how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.
I found it hard to wind down
I was aware of dryness of my mouth
I couldn't seem to experience any positive feeling at all
I experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion)
I found it difficult to work up the initiative to do things
I tended to over-react to situations
I experienced trembling (e.g. in the hands)
I felt that I was using a lot of nervous energy
I was worried about situations in which I might panic and make a fool of myself
I felt that I had nothing to look forward to
I found myself getting agitated
I found it difficult to relax
I felt down-hearted and blue
I was intolerant of anything that kept me from getting on with what I was doing
I felt I was close to panic
I was unable to become enthusiastic about anything
I felt I wasn't worth much as a person
I felt that I was rather touchy
I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat)
I felt scared without any good reason I felt that life was meaningless
PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
PATIENT HEALTH QUESTIONNAIRE (PHQ-9) - Over the last 2 weeks, how often have you been bothered by any of the following problems?
Little interest or pleasure in doing things
Feeling down, depressed, or hopeless
Trouble falling or staying asleep, or sleeping too much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself - or that you are a failure or have let yourself or your family down
Trouble concentrating on things, such as reading the newspaper or watching television
Moving or speaking so slowly that other people could have noticed. Or, the opposite - being so fidgety or restless that you have been moving around a lot more than usual
Thoughts that you would be beter off dead of or hurting yourself in some way
If you checked off any problems on this questionnaire, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
Thoughts that you would be beter off dead of or hurting yourself in some way
Generalized Anxiety Disorder 7-item (GAD-7) scale
Generalized Anxiety Disorder 7-item (GAD-7) scale - Over the last 2 weeks, how often have you been bothered by the following problems?