Kessler 5 (K5) form

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Kessler 5 (K5)

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The following five questions ask about how you have been feeling in the past four weeks. For each question select the box nest to the option that best describes the amount of time you have felt that way.

Kessler 5

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 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 without hope?
None of the timeIn the last 4 weeks, about how often did you feel without hope? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel without hope? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel without hope? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel without hope? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel without hope? All of the time
In the last 4 weeks, about how often did you feel restless or jumpy?
None of the timeIn the last 4 weeks, about how often did you feel restless or jumpy? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel restless or jumpy? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel restless or jumpy? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel restless or jumpy? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel restless or jumpy? All of the time
In the last 4 weeks, about how often did you feel that everything was an effort?
None of the timeIn the last 4 weeks, about how often did you feel that everything was an effort? None of the time
A little of the timeIn the last 4 weeks, about how often did you feel that everything was an effort? A little of the time
Some of the timeIn the last 4 weeks, about how often did you feel that everything was an effort? Some of the time
Most of the timeIn the last 4 weeks, about how often did you feel that everything was an effort? Most of the time
All of the timeIn the last 4 weeks, about how often did you feel that everything was 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

	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 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 without hope?	None of the timeIn the last 4 weeks, about how often did you feel without hope? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel without hope? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel without hope? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel without hope? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel without hope? All of the time
In the last 4 weeks, about how often did you feel restless or jumpy?	None of the timeIn the last 4 weeks, about how often did you feel restless or jumpy? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel restless or jumpy? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel restless or jumpy? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel restless or jumpy? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel restless or jumpy? All of the time
In the last 4 weeks, about how often did you feel that everything was an effort?	None of the timeIn the last 4 weeks, about how often did you feel that everything was an effort? None of the time	A little of the timeIn the last 4 weeks, about how often did you feel that everything was an effort? A little of the time	Some of the timeIn the last 4 weeks, about how often did you feel that everything was an effort? Some of the time	Most of the timeIn the last 4 weeks, about how often did you feel that everything was an effort? Most of the time	All of the timeIn the last 4 weeks, about how often did you feel that everything was 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

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