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Mental Health Self-Assessment

This document is a 21-question survey called the Depression Anxiety Stress Scales - Short Form (DASS-21) that assesses symptoms of depression, anxiety and stress. Respondents are asked to indicate on a scale of 0 to 3 how much each statement applied to them over the past week, with options ranging from "Never" to "Almost Always". The questions cover topics like difficulty relaxing, feeling worthless, panic, agitation and meaninglessness. Scoring and interpreting the results allows for evaluation of depression, anxiety and stress levels.

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Huy Hoàng
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664 views2 pages

Mental Health Self-Assessment

This document is a 21-question survey called the Depression Anxiety Stress Scales - Short Form (DASS-21) that assesses symptoms of depression, anxiety and stress. Respondents are asked to indicate on a scale of 0 to 3 how much each statement applied to them over the past week, with options ranging from "Never" to "Almost Always". The questions cover topics like difficulty relaxing, feeling worthless, panic, agitation and meaninglessness. Scoring and interpreting the results allows for evaluation of depression, anxiety and stress levels.

Uploaded by

Huy Hoàng
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NovoPsych

Depression Anxiety Stress Scales - Short Form


(DASS-21)
Instructions:
Please read each statement and press a response that 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.

NEVER - Did not apply to me at all


SOMETIMES - Applied to me to some degree, or some of the time
OFTEN - Applied to me to a considerable degree, or a good part of time
ALMOST ALWAYS - Applied to me very much, or most of the time

Never Sometimes Often Almost Always

1 I found it hard to wind down 0 1 2 3

2 I was aware of dryness of my mouth 0 1 2 3

I couldn’t seem to experience any


3
positive feeling at all
0 1 2 3
I experienced breathing difficulty (eg, excessively
4 rapid breathing, 0 1 2 3
breathlessness in the absence of physical exertion)

I found it difficult to work up the


5
initiative to do things
0 1 2 3

6 I tended to over-react to situations 0 1 2 3

I experienced trembling (eg, in the


7
hands)
0 1 2 3

I felt that I was using a lot of


8
nervous energy
0 1 2 3

I was worried about situations in which


9
I might panic and make a fool of myself 0 1 2 3

I felt that I had nothing to look


10
forward to
0 1 2 3

11 I found myself getting agitated 0 1 2 3

12 I found it difficult to relax 0 1 2 3

13 I felt down-hearted and blue 0 1 2 3

I was intolerant of anything that kept me


14
from getting on with what I was doing 0 1 2 3

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NovoPsych

Never Sometimes Often Almost Always

15 I felt I was close to panic 0 1 2 3

I was unable to become enthusiastic


16
about anything
0 1 2 3

I felt I wasn’t worth much as a


17
person
0 1 2 3

18 I felt that I was rather touchy 0 1 2 3


I was aware of the action of my heart in the
19 absence of physical exertion (eg,sense of 0 1 2 3
heart rate increase, heart missing a beat)

I felt scared without any good


20
reason
0 1 2 3

21 I felt that life was meaningless 0 1 2 3

Developer Reference:
Lovibond, S.H.; Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales (2nd
ed.). Sydney: Psychology Foundation (Available from The Psychology Foundation, Room
1005 Mathews Building, University of New South Wales, NSW 2052, Australia

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