Skip to content
Call Us Today! (08) 8293 1100
|
reception@smarthealthtraining.com.au | Fax (08) 8371 1577
Search for:
Physiotherapy
Chiropractic
Medical
Exercise Therapy
Massage Therapy
Specialties
Dance
Medicolegal
eHealth
WHS
Women’s Health
New Patients
Collaboration
Forms
Contact
Book Appointment
Feedback, Compliments & Complaints
Blog
Search for:
DASS Outcomes
Home
/
Forms
/
DASS Outcomes
""
1
DASS Outcomes
Please circle a number by each statement to indicate how much the statement has applied to you over the last week.
Name
your full name
Email
a valid email
0 – did not apply to me at all
2 – applied to me to some degree, or some of the time
4 – applied to me to a considerable degree, or a good part of the time
6 – applied to me very much, or most of the time
N
0
2
4
6
1. I found it hard to wind down
2. I was aware of dryness in my mouth
3. I couldn’t seem to experience any positive feelings at all
4. I experienced breathing difficulty – rapid breathing, breathlessness in absence of physical exertion
5. I found it difficult to work up the initiative to do things
6. I tended to over-react to situations
7. I experienced trembling (especially in the hands)
8. I felt I was using a lot of nervous energy
9. I was worried about situations where 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
14. I was intolerant of anything that kept me from getting on with what I was doing 15. I felt I was close to panic
16. I was unable to become enthusiastic about anything
17. I felt I was not 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 (sense of heart rate increase, miss a beat)
20. I felt scared without good reason
21. I felt that life was meaningless
Submit Form
Previous
Next
Go to Top