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This DASS 21 depression anxiety
stress scale test evaluates the
severity of mental disorder
symptoms associated to the
three and provides a mild,
moderate or severe result. Below
the form there are instructions on
how to interpret the result as well
as in which axis each of the
questions belongs too.

1 I found it hard to wind down.

Often (2 points)

2I was aware of dryness of my


mouth.
Never (0 points)

3 I couldn’t seem to experience any


positive feeling at all.
Almost always (3 points)

4 I experienced breathing difficulty.

Almost always (3 points)

5 I found it difficult to work up the


initiative to do things.
Often (2 points)

6 I tended to over-react to
situations.
Often (2 points)

7 I experienced trembling (eg, in the


hands).
Sometimes (1 point)

8 I felt that I was using a lot of


nervous energy.
Never (0 points)

9 I was worried about situations in


which I might panic and make a fool
of myself.
Sometimes (1 point)

10 I felt that I had nothing to look


forward to.
Sometimes (1 point)

11 I found myself getting agitated.

Sometimes (1 point)

12 I found it difficult to relax.

Often (2 points)

13 I felt down-hearted and blue.

Sometimes (1 point)

14 I was intolerant of anything that


kept me from getting on with what I
was doing.
Sometimes (1 point)

15 I felt I was close to panic.

Never (0 points)

16 I was unable to become


enthusiastic about anything.
Sometimes (1 point)

17 I felt I wasn’t worth much as a


person.
Often (2 points)

18 I felt that I was rather touchy.

Sometimes (1 point)

19 I was aware of the action of my


heart in the absence of physical
exertion.
Sometimes (1 point)

20 I felt scared without any good


reason.
Often (2 points)

21 I felt that life was meaningless.

Often (2 points)

Calculate Reset

■ Depression Score = 12. This is


a Severe level.

■ Anxiety Score = 8. This is a


Severe level.

■ Stress Score = 9. This is a Mild


level.
Disclaimer: This tool should NOT be
considered as a substitute for any professional
medical service, NOR as a substitute for clinical
judgement.

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■ Holmes And Rahe Stress Scale
Calculator

■ Zung Self-Rating Depression


Scale Calculator

■ Geriatric Depression Scale


(GDS) Test

■ Social Anxiety Test


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This is a health tool that evaluates the
severity of behavioral and emotional
symptoms that are correlated with
depression, anxiety disorder and
stress.
There are 21 items that need to be
scored as listed below and the test
usually takes around 3 to 5 minutes.
The assessor advises the patient to
consider what they have experienced
in the past week as well as at the
present and to choose the answer
that first comes in mind.
■ Depression symptoms related
items: 3, 5, 10, 13, 16, 17, 21.
■ Anxiety disorder related items: 2, 4,
7, 9, 15, 19, 20.
■ Stress related items: 1, 6, 8, 11, 12,
14, 18.
The DASS 21 depression anxiety
stress test is not a diagnosis mean by
itself, it is merely a self report scheme
and should be followed by a complete
psychological or psychiatric
evaluation.
1. (s) I found it hard to wind down.
2. (a) I was aware of dryness of my
mouth.
3. (d) I couldn’t seem to experience
any positive feeling at all.
4. (a) I experienced breathing
difficulty.
5. (d) I found it difficult to work up the
initiative to do things.
6. (s) I tended to over-react to
situations.
7. (a) I experienced trembling (eg, in
the hands).
8. (s) I felt that I was using a lot of
nervous energy.
9. (a) I was worried about situations in
which I might panic and make a fool
of myself.
10. (d) I felt that I had nothing to look
forward to.
11. (s) I found myself getting agitated.
12. (s) I found it difficult to relax.
13. (d) I felt down-hearted and blue.
14. (s) I was intolerant of anything
that kept me from getting on with
what I was doing.
15. (a) I felt I was close to panic.
16. (d) I was unable to become
enthusiastic about anything.
17. (d) I felt I wasn’t worth much as a
person.
18. (s) I felt that I was rather touchy.
19. (a) I was aware of the action of
my heart in the absence of physical
exertion.
20. (a) I felt scared without any good
reason.
21. (d) I felt that life was meaningless.
The four available answer choices
are described as follows:
■ Never – did not apply to me at all,
awarded 0 points.
■ Sometimes – applied to me to
some degree, or some of the time,
awarded 1 point.
■ Often – applied to me to a
considerable degree, or a good part
of time, awarded 2 points.
■ Almost always – applied to me very
much, or most of the time, awarded 3
points.

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The 21 item Depression Anxiety
Stress Scale questionnaire is used as
a quantitative measure of distress
along the 3 axes of depression,
anxiety and stress reactions and
management. Each of the questions
is rated from 0 to 3. Therefore each of
the axes presents partial scores of 0
to 18-24 depending on the number of
questions assigned.
There have been created cut off
points for each of the severity
categories, however, these should be
cautiously used in conjunction to
other clinical and observational data
and are described in the table below:

Level/Disorder Depression Anxiety Stress

Normal 0-4 0-3 0-7

Mild 5-6 4-5 8-9

Moderate 7 - 10 6-7 10 - 12

Severe 11 - 13 8-9 13 - 16

Extremely severe ≥ 14 ≥ 10 ≥ 17

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1) Henry JD, Crawford JR. (2005)
The short-form version of the
Depression Anxiety Stress Scales
(DASS-21): construct validity and
normative data in a large non-clinical
sample. Br J Clin Psychol; 44(Pt
2):227-39.
2) Wiseman TA, Curtis K, Lam M,
Foster K. (2015) Incidence of
depression, anxiety and stress
following traumatic injury: a
longitudinal study. Scand J Trauma
Resusc Emerg Med;23:29.
3) Lovibond SH, Lovibond PF. (1995)
Manual for the Depression Anxiety &
Stress Scales (second edition).
Psychology Foundation.
17 Dec, 2015

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