Depression, Anxiety and Stress Scale - 21 Items (DASS-21)

Depression, Anxiety and Stress Scale -
21 Items (DASS-21)

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Depression, Anxiety and Stress Scale - 21 Items (DASS-21)

Name *

Date of Birth *

Address

Address Line 1

City

State / Province / Region

Postal Code

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Please read each statement and select which answer indicates 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.

DASS-21

Date

	Never	Sometimes	Often	Almost Always
I found it hard to wind down	NeverI found it hard to wind down Never	SometimesI found it hard to wind down Sometimes	OftenI found it hard to wind down Often	Almost AlwaysI found it hard to wind down Almost Always
I was aware of dryness of my mouth	NeverI was aware of dryness of my mouth Never	SometimesI was aware of dryness of my mouth Sometimes	OftenI was aware of dryness of my mouth Often	Almost AlwaysI was aware of dryness of my mouth Almost Always
I couldn’t seem to experience any positive feeling at all	NeverI couldn’t seem to experience any positive feeling at all Never	SometimesI couldn’t seem to experience any positive feeling at all Sometimes	OftenI couldn’t seem to experience any positive feeling at all Often	Almost AlwaysI couldn’t seem to experience any positive feeling at all Almost Always
I experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion)	NeverI experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion) Never	SometimesI experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion) Sometimes	OftenI experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion) Often	Almost AlwaysI experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion) Almost Always
I found it difficult to work up the initiative to do things	NeverI found it difficult to work up the initiative to do things Never	SometimesI found it difficult to work up the initiative to do things Sometimes	OftenI found it difficult to work up the initiative to do things Often	Almost AlwaysI found it difficult to work up the initiative to do things Almost Always
I tended to over-react to situations	NeverI tended to over-react to situations Never	SometimesI tended to over-react to situations Sometimes	OftenI tended to over-react to situations Often	Almost AlwaysI tended to over-react to situations Almost Always
I experienced trembling (e.g. in the hands)	NeverI experienced trembling (e.g. in the hands) Never	SometimesI experienced trembling (e.g. in the hands) Sometimes	OftenI experienced trembling (e.g. in the hands) Often	Almost AlwaysI experienced trembling (e.g. in the hands) Almost Always
I felt that I was using a lot of nervous energy	NeverI felt that I was using a lot of nervous energy Never	SometimesI felt that I was using a lot of nervous energy Sometimes	OftenI felt that I was using a lot of nervous energy Often	Almost AlwaysI felt that I was using a lot of nervous energy Almost Always
I was worried about situations in which I might panic and make a fool of myself	NeverI was worried about situations in which I might panic and make a fool of myself Never	SometimesI was worried about situations in which I might panic and make a fool of myself Sometimes	OftenI was worried about situations in which I might panic and make a fool of myself Often	Almost AlwaysI was worried about situations in which I might panic and make a fool of myself Almost Always
I felt that I had nothing to look forward to	NeverI felt that I had nothing to look forward to Never	SometimesI felt that I had nothing to look forward to Sometimes	OftenI felt that I had nothing to look forward to Often	Almost AlwaysI felt that I had nothing to look forward to Almost Always
I found myself getting agitated	NeverI found myself getting agitated Never	SometimesI found myself getting agitated Sometimes	OftenI found myself getting agitated Often	Almost AlwaysI found myself getting agitated Almost Always
I found it difficult to relax	NeverI found it difficult to relax Never	SometimesI found it difficult to relax Sometimes	OftenI found it difficult to relax Often	Almost AlwaysI found it difficult to relax Almost Always
I felt down-hearted and blue	NeverI felt down-hearted and blue Never	SometimesI felt down-hearted and blue Sometimes	OftenI felt down-hearted and blue Often	Almost AlwaysI felt down-hearted and blue Almost Always
I was intolerant of anything that kept me from getting on with what I was doing	NeverI was intolerant of anything that kept me from getting on with what I was doing Never	SometimesI was intolerant of anything that kept me from getting on with what I was doing Sometimes	OftenI was intolerant of anything that kept me from getting on with what I was doing Often	Almost AlwaysI was intolerant of anything that kept me from getting on with what I was doing Almost Always
I felt I was close to panic	NeverI felt I was close to panic Never	SometimesI felt I was close to panic Sometimes	OftenI felt I was close to panic Often	Almost AlwaysI felt I was close to panic Almost Always
I was unable to become enthusiastic about anything	NeverI was unable to become enthusiastic about anything Never	SometimesI was unable to become enthusiastic about anything Sometimes	OftenI was unable to become enthusiastic about anything Often	Almost AlwaysI was unable to become enthusiastic about anything Almost Always
I felt I wasn't worth much as a person	NeverI felt I wasn't worth much as a person Never	SometimesI felt I wasn't worth much as a person Sometimes	OftenI felt I wasn't worth much as a person Often	Almost AlwaysI felt I wasn't worth much as a person Almost Always
I felt that I was rather touchy	NeverI felt that I was rather touchy Never	SometimesI felt that I was rather touchy Sometimes	OftenI felt that I was rather touchy Often	Almost AlwaysI felt that I was rather touchy Almost Always
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)	NeverI 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) Never	SometimesI 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) Sometimes	OftenI 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) Often	Almost AlwaysI 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) Almost Always
I felt scared without any good reason	NeverI felt scared without any good reason Never	SometimesI felt scared without any good reason Sometimes	OftenI felt scared without any good reason Often	Almost AlwaysI felt scared without any good reason Almost Always
I felt that life was meaningless	NeverI felt that life was meaningless Never	SometimesI felt that life was meaningless Sometimes	OftenI felt that life was meaningless Often	Almost AlwaysI felt that life was meaningless Almost Always