DASS 21

First Name *

Last Name *

Date of Birth *

Date *

DASS 21

Please read each statement and indicate how much the statement applied to you over the past week.

The rating scale is:

0 = Never (Did not aply to me at all)

1 = Sometimes (Applied to some degree, or some of the time)

2 = Often (Applied to a considerable degree, or a good part of the time)

3 = Almost Always (Applied to very much, or most of the time)

PLEASE ENSURE YOU ANSWER ALL QUESTIONS

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I find it hard to wind down

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I was aware of dryness in my mouth

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I couldn't seem to experience any positive feeling at all

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I experienced breathing difficulty, e.g., excessively rapidly breathing or breathlessness in the absence of physical exertion

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

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

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I tend to overreact to situations

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I experience trembling, e.g., in the hands

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I felt that I was using a lot of nervous energy

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

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

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I felt that I had nothing to look forward to

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I found myself getting agitated

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I found it difficult to relax

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I felt downhearted and/or blue

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

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

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I felt I was close to panic

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I was unable to become enthusiastic about anything

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I felt that I wasn't worth much as a person

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I felt that I was rather touchy

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

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

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I felt scared without any good reason

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

I felt that life was meaningless

Never – 0 Sometimes – 1 Often – 2 Almost Always – 3

Reference:

Lovibond, S.H. & Lovibond, P.F. (1995). Manual for the Depression Anxiety & Stress Scales. (2nd Ed.) Sydney: Psychology Foundation

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