You are on page 1of 2

DASS

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.
Not at
all

Some
times

Frequently

Most of
the time

1. I Found It hard to wind down

2. I was aware of dryness of my mouth

3. I couldnt seem to experience any positive feeling at all

4. I experienced breathing difficulty (eg. Excessively rapid


breathing, breathlessness in the absence of physical
exertion).

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

6. I tend to over-react to situations

7. I experienced trembling (eg. In the hands)

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

9. I was worried about situations in which I might panic and


make a fool of myself

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

__

11. I found myself getting agitated

__

12. I found it difficult to relax

__

13. I felt down-hearted and blue

Office use only

__
__
__

__
__
__
__
__

__

__

14. I was intolerant of anything that kept me form getting on


with what I was doing

__
0

15. I felt I was close to panic

16. I was unable to become enthusiastic about anything

__

17. I felt I wasnt worth much as a person

__

18. I felt that I was rather touchy

19. I was aware of the action of my heart in the absence of


physical exertion (eg, sense of heart rate increase, heart
missing a beat).

__

20. I felt scared without good reason

__

21. I felt that life was meaningless

__

__

__

__

/var/www/apps/conversion/tmp/scratch_7/333652733.doc

__

__

DASS (Depression and Anxiety


Stress Scale) Scoring
S (Stress) Q1, 6, 8, 11, 12, 14, 18
A (Anxiety) Q2, 4, 7, 9, 15, 19, 20
D (Depression) Q3, 5, 10,13, 16, 17, 21
1. Record circled number on the line provided in the Office Use Only columns next to the
responses.
2. Add up the number in the first column of the Office Use Only. Record this number on the
line next to A at the bottom of the form.
3. Add up the number in the second column of the Office Use Only. Record this number on
the line next to D at the bottom of the form.
4. Add up the number in the third column of the Office Use Only. Record this number on the
line next to S at the bottom of the form.
5. S score x 2 = Stress.
6. A score x 2 = Anxiety
7. D score x 2 = Depression.
8. Range:
Stress
Normal.............................0-10
Mild..................................11-18
Moderate.........................19-26
Severe.............................27-34
Extremely severe.............35-42
Anxiety
Normal.............................0-6
Mild..................................7-9
Moderate.........................10-14
Severe.............................15-19
Extremely severe.............20-42
Depression
Normal.............................0-9
Mild..................................10-12
Moderate.........................13-20
Severe.............................21-27
Extremely severe.............28-42

/var/www/apps/conversion/tmp/scratch_7/333652733.doc