You are on page 1of 2

DAS S Name: Date:

Please read each statement and circle a number 0, 1, 2 or 3 which 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.
The rating scale is as follows:
0 Did not apply to me at all
1 Applied to me to some degree, or some o the time
2 Applied to me to a considerable degree, or a good part o time
3 Applied to me !ery much, or most o the time
1 " ound mysel getting upset by #uite tri!ial things 0 1 2 3
2 " was aware o dryness o my mouth 0 1 2 3
3 " couldn$t seem to e%perience any positi!e eeling at all 0 1 2 3
& " e%perienced breathing diiculty 'eg, e%cessi!ely rapid breathing,
breathlessness in the absence o physical e%ertion(
0 1 2 3
) " *ust couldn$t seem to get going 0 1 2 3
+ " tended to o!er,react to situations 0 1 2 3
- " had a eeling o sha.iness 'eg, legs going to gi!e way( 0 1 2 3
/ " ound it diicult to rela% 0 1 2 3
0 " ound mysel in situations that made me so an%ious " was most
relie!ed when they ended
0 1 2 3
10 " elt that " had nothing to loo. orward to 0 1 2 3
11 " ound mysel getting upset rather easily 0 1 2 3
12 " elt that " was using a lot o ner!ous energy 0 1 2 3
13 " elt sad and depressed 0 1 2 3
1& " ound mysel getting impatient when " was delayed in any way
'eg, lits, traic lights, being .ept waiting(
0 1 2 3
1) " had a eeling o aintness 0 1 2 3
1+ " elt that " had lost interest in *ust about e!erything 0 1 2 3
1- " elt " wasn$t worth much as a person 0 1 2 3
1/ " elt that " was rather touchy 0 1 2 3
10 " perspired noticeably 'eg, hands sweaty( in the absence o high
temperatures or physical e%ertion
0 1 2 3
20 " elt scared without any good reason 0 1 2 3
21 " elt that lie wasn$t worthwhile 0 1 2 3
Please turn the page

DASS42 2
Reminder of rating scale:
0 Did not apply to me at all
1 Applied to me to some degree, or some o the time
2 Applied to me to a considerable degree, or a good part o time
3 Applied to me !ery much, or most o the time
22 " ound it hard to wind down 0 1 2 3
23 " had diiculty in swallowing 0 1 2 3
2& " couldn$t seem to get any en*oyment out o the things " did 0 1 2 3
2) " was aware o the action o my heart in the absence o physical
e%ertion 'eg, sense o heart rate increase, heart missing a beat(
0 1 2 3
2+ " elt down,hearted and blue 0 1 2 3
2- " ound that " was !ery irritable 0 1 2 3
2/ " elt " was close to panic 0 1 2 3
20 " ound it hard to calm down ater something upset me 0 1 2 3
30 " eared that " would be 1thrown1 by some tri!ial but
unamiliar tas.
0 1 2 3
31 " was unable to become enthusiastic about anything 0 1 2 3
32 " ound it diicult to tolerate interruptions to what " was doing 0 1 2 3
33 " was in a state o ner!ous tension 0 1 2 3
3& " elt " was pretty worthless 0 1 2 3
3) " was intolerant o anything that .ept me rom getting on with
what " was doing
0 1 2 3
3+ " elt terriied 0 1 2 3
3- " could see nothing in the uture to be hopeul about 0 1 2 3
3/ " elt that lie was meaningless 0 1 2 3
30 " ound mysel getting agitated 0 1 2 3
&0 " was worried about situations in which " might panic and ma.e
a ool o mysel
0 1 2 3
&1 " e%perienced trembling 'eg, in the hands( 0 1 2 3
&2 " ound it diicult to wor. up the initiati!e to do things 0 1 2 3

You might also like