Kessler 10 Plus (K10+) form

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Kessler 10 Plus (K10+)

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This service is only available within South Australia. Check our services page for specific locations. Or contact Head to Health directly on 1800 595 212 or visit website www.headtohealth.gov.au for alternative services in their area.

These questions concern how you have been feeling over the past four weeks. Tick the box below each question that best represents how you have felt.

The next few questions are about how these feelings may have affected you in the last four weeks. You need not answer these questions if you answered ‘None of the time’ to all of the ten questions about your feelings.

In the last 4 weeks, how many days were you TOTALLY UNABLE to work, study or manage your day to day activities because of these feelings?

[Aside from those days], in the last 4 weeks, HOW MANY DAYS were you able to work or study or manage your day to day activities, but had to CUT DOWN on what you did because of these feelings?

In the last 4 weeks, how many times have you seen a doctor or any other health professional about these feelings?

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