DASS21

Depression, Anxiety, Stress Survey

About the DASS21

The DASS21 is a quick and easy survey of your current depression, anxiety and stress levels. It is not a stand-alone measure of symptoms for a formal diagnosis however it is a reliable and valid measure.

Please complete the following questionnaire by rating the severity of your symptoms for the past 7 days.

Instructions:

Please read each statement and check the number 0 zero, 1, 2, or 3 to indicate how much the statement applied to you over the past week, i.e. the past 7 days. You are examining yourself and providing an average for the past 7 days.

1. There are no right or wrong answers.
2. Do not spend too much time on any statement. In other words, do not overthink your answers.
3. Complete all statements.
4. Your responses will be emailed to your psychologist and scored, so please complete this at least 1 day prior to your appointment if you have one scheduled.
5. Each answer has been preset to “3”, so please CHANGE the answer to your most accurate response by clicking on the button.

The rating scale is as follows:
0 – Did not apply to me at all
1 – Applied to me to some degree, or some of the time
2 – Applied to me to a considerable degree, or a good part of the time
3 – Applied to me very much, or most of the time

The DASS21 is the shortened form of the DASS42 but still has good reliability and validity. This questionnaire does not diagnose a mental health disorder. Your results will be provided at a later date so please use a valid email address.

*(denotes required field)

First Name:*

Last Name:*

E-Mail Address:*

1. I found it hard to wind down:*

0 zero
1
2
3

2. I was aware of dryness in my mouth:*

0 zero
1
2
3

3. I couldn't seem to experience any positive feeling at all:*

0 zero
1
2
3

4. I had breathing difficulty such as excessively rapid breathing or breathlessness without physical exertion:*

0 zero
1
2
3

5. I found it difficult to work up the initiative to do things:*

0 zero
1
2
3

6. I tended to overreact to situations:*

0 zero
1
2
3

7. I experienced trembling such as in the hands:*

0 zero
1
2
3

8. I felt that I was using a lot of nervous energy:*

0 zero
1
2
3

9. I was worried about situations in which I might panic and make a fool of myself:*

0 zero
1
2
3

10. I felt that I had nothing to look forward to:*

0 zero
1
2
3

11. I found myself getting agitated:*

0 zero
1
2
3

12. I found it difficult to relax:*

0 zero
1
2
3

13. I felt down-hearted and blue:*

0 zero
1
2
3

14. I was intolerant of anything that kept me from getting on with what I was doing:*

0 zero
1
2
3

15. I felt I was close to panic:*

0 zero
1
2
3

16. I was unable to become enthusiastic about anything:*

0 zero
1
2
3

17. I felt I wasn't worth much as a person:*

0 zero
1
2
3

18. I felt that I was rather touchy:*

0 zero
1
2
3

19. I was aware of the action of my heart in the absence of physical exertion such as heart rate increase or heart missing a beat:*

0 zero
1
2
3

20. I felt scared without any good reason:*

0 zero
1
2
3

21. I felt that life was meaningless:*

0 zero
1
2
3

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