Depression, anxiety and stress scale (DASS-21)

Please read each statement below and select the number 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 of the time
2 - applied to me to a considerable degree or a good part of time
3 - applied to me very much or most of the time.

Name Required

NHS number Required

Date of birth Required

Group/course name Required

Psychologist (if individual therapy)

I found it hard to wind down Required

I was aware of dryness of my mouth Required

I couldn’t seem to experience any positive feeling at all Required

I experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion) Required

I found it difficult to work up the initiative to do things Required

I tended to over-react to situations Required

I experienced trembling (e.g. in the hands) Required

I felt that I was using a lot of nervous energy Required

I was worried about situations in which I might panic and make a fool of myself Required

I felt that I had nothing to look forward to Required

I found myself getting agitated Required

I found it difficult to relax Required

I felt down-hearted and blue Required

I was intolerant of anything that kept me from getting on with what I was doing Required

I felt I was close to panic Required

I was unable to become enthusiastic about anything Required

I felt I wasn’t worth much as a person Required

I felt that I was rather touchy Required

I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat) Required

I felt scared without any good reason Required

I felt that life was meaningless Required

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