Kessler 10 Plus (K10+) form

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Kessler 10 Plus (K10+)

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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.

Kessler 10 Plus

None of the time A little of the time Some of the time Most of the time All of the time

In the last 4 weeks, about how often did you feel tired out for no good reason?
None of the timeIn the last 4 weeks, about how often did you feel tired out for no good reason? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel tired out for no good reason? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel tired out for no good reason? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel tired out for no good reason? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel tired out for no good reason? All of the time
In the last 4 weeks, about how often did you feel nervous?
None of the timeIn the last 4 weeks, about how often did you feel nervous? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel nervous? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel nervous? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel nervous? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel nervous? All of the time
In the last 4 weeks, about how often did you feel so nervous that nothing could calm you down?
None of the timeIn the last 4 weeks, about how often did you feel so nervous that nothing could calm you down? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel so nervous that nothing could calm you down? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel so nervous that nothing could calm you down? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel so nervous that nothing could calm you down? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel so nervous that nothing could calm you down? All of the time
In the last 4 weeks, about how often did you feel hopeless?
None of the timeIn the last 4 weeks, about how often did you feel hopeless? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel hopeless? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel hopeless? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel hopeless? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel hopeless? All of the time
In the last 4 weeks, about how often did you feel restless or fidgety?
None of the timeIn the last 4 weeks, about how often did you feel restless or fidgety? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel restless or fidgety? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel restless or fidgety? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel restless or fidgety? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel restless or fidgety? All of the time
In the last 4 weeks, about how often did you feel so restless you could not sit still?
None of the timeIn the last 4 weeks, about how often did you feel so restless you could not sit still? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel so restless you could not sit still? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel so restless you could not sit still? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel so restless you could not sit still? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel so restless you could not sit still? All of the time
In the last 4 weeks, about how often did you feel depressed?
None of the timeIn the last 4 weeks, about how often did you feel depressed? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel depressed? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel depressed? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel depressed? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel depressed? All of the time
In the last 4 weeks, about how often did you feel that everything is an effort?
None of the timeIn the last 4 weeks, about how often did you feel that everything is an effort? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel that everything is an effort? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel that everything is an effort? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel that everything is an effort? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel that everything is an effort? All of the time
In the last 4 weeks, about how often did you feel so sad that nothing could cheer you up?
None of the timeIn the last 4 weeks, about how often did you feel so sad that nothing could cheer you up? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel so sad that nothing could cheer you up? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel so sad that nothing could cheer you up? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel so sad that nothing could cheer you up? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel so sad that nothing could cheer you up? All of the time
In the last 4 weeks, about how often did you feel worthless?
None of the timeIn the last 4 weeks, about how often did you feel worthless? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel worthless? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel worthless? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel worthless? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel worthless? All of the time

	None of the time	A little of the time	Some of the time	Most of the time	All of the time
In the last 4 weeks, about how often did you feel tired out for no good reason?	None of the timeIn the last 4 weeks, about how often did you feel tired out for no good reason? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel tired out for no good reason? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel tired out for no good reason? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel tired out for no good reason? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel tired out for no good reason? All of the time
In the last 4 weeks, about how often did you feel nervous?	None of the timeIn the last 4 weeks, about how often did you feel nervous? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel nervous? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel nervous? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel nervous? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel nervous? All of the time
In the last 4 weeks, about how often did you feel so nervous that nothing could calm you down?	None of the timeIn the last 4 weeks, about how often did you feel so nervous that nothing could calm you down? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel so nervous that nothing could calm you down? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel so nervous that nothing could calm you down? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel so nervous that nothing could calm you down? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel so nervous that nothing could calm you down? All of the time
In the last 4 weeks, about how often did you feel hopeless?	None of the timeIn the last 4 weeks, about how often did you feel hopeless? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel hopeless? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel hopeless? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel hopeless? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel hopeless? All of the time
In the last 4 weeks, about how often did you feel restless or fidgety?	None of the timeIn the last 4 weeks, about how often did you feel restless or fidgety? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel restless or fidgety? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel restless or fidgety? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel restless or fidgety? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel restless or fidgety? All of the time
In the last 4 weeks, about how often did you feel so restless you could not sit still?	None of the timeIn the last 4 weeks, about how often did you feel so restless you could not sit still? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel so restless you could not sit still? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel so restless you could not sit still? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel so restless you could not sit still? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel so restless you could not sit still? All of the time
In the last 4 weeks, about how often did you feel depressed?	None of the timeIn the last 4 weeks, about how often did you feel depressed? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel depressed? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel depressed? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel depressed? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel depressed? All of the time
In the last 4 weeks, about how often did you feel that everything is an effort?	None of the timeIn the last 4 weeks, about how often did you feel that everything is an effort? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel that everything is an effort? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel that everything is an effort? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel that everything is an effort? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel that everything is an effort? All of the time
In the last 4 weeks, about how often did you feel so sad that nothing could cheer you up?	None of the timeIn the last 4 weeks, about how often did you feel so sad that nothing could cheer you up? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel so sad that nothing could cheer you up? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel so sad that nothing could cheer you up? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel so sad that nothing could cheer you up? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel so sad that nothing could cheer you up? All of the time
In the last 4 weeks, about how often did you feel worthless?	None of the timeIn the last 4 weeks, about how often did you feel worthless? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel worthless? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel worthless? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel worthless? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel worthless? All of the time

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?

None of the time A little of the time Some of the time Most of the time All of the time

In the last 4 weeks, how often have physical health problems been the main cause of these feelings?
None of the timeIn the last 4 weeks, how often have physical health problems been the main cause of these feelings? None of the time
A little of the timeIn the last 4 weeks, how often have physical health problems been the main cause of these feelings? A little of the time
Some of the timeIn the last 4 weeks, how often have physical health problems been the main cause of these feelings? Some of the time
Most of the timeIn the last 4 weeks, how often have physical health problems been the main cause of these feelings? Most of the time
All of the timeIn the last 4 weeks, how often have physical health problems been the main cause of these feelings? All of the time

	None of the time	A little of the time	Some of the time	Most of the time	All of the time
In the last 4 weeks, how often have physical health problems been the main cause of these feelings?	None of the timeIn the last 4 weeks, how often have physical health problems been the main cause of these feelings? None of the time	A little of the timeIn the last 4 weeks, how often have physical health problems been the main cause of these feelings? A little of the time	Some of the timeIn the last 4 weeks, how often have physical health problems been the main cause of these feelings? Some of the time	Most of the timeIn the last 4 weeks, how often have physical health problems been the main cause of these feelings? Most of the time	All of the timeIn the last 4 weeks, how often have physical health problems been the main cause of these feelings? All of the time

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