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Home
Clinic
Clinic
Telehealth Consultations
Sleep Studies
Dr David Cunnington
FAQs
Questionnaires & forms
Registration form
Prescription requests
Attend Appointment
Telehealth appointment
In-clinic appointment
FAQs
Questionnaires & forms
Learn about sleep
Contact
Ph: 03 8609 0308
Hospital Anxiety and Depression Scale
Full Name
(Required)
Tick the box beside the reply that is closest to how you have been feeling in the past week.
Don’t take too long over your replies: your immediate is best.
I feel tense or 'wound up':
Most of the time
A lot of the time
From time to time, occasionally
Not at all
I still enjoy the things I used to enjoy:
Definitely as much
Not quite so much
Only a little
Hardly at all
I get a sort of frightened feeling as if something awful is about to happen:
Very definitely and quite badly
Yes, but not too badly
A little, but it doesn’t worry me
Not at all
I can laugh and see the funny side of things:
As much as I always could
Not quite so much now
Definitely not so much now
Not at all
Worrying thoughts go through my mind:
A great deal of the time
A lot of the time
From time to time, but not too often
Only occasionally
I feel cheerful:
Not at all
Not often
Sometimes
Most of the time
I can sit at ease and feel relaxed:
Definitely
Usually
Not Often
Not at all
I feel as if I am slowed down:
Nearly all the time
Very often
Sometimes
Not at all
I get a sort of frightened feeling like 'butterflies' in the stomach:
Not at all
Occasionally
Quite Often
Very Often
I have lost interest in my appearance:
Definitely
I don’t take as much care as I should
I may not take quite as much care
I take just as much care as ever
I feel restless as I have to be on the move:
Very much indeed
Quite a lot
Not very much
Not at all
I look forward with enjoyment to things:
As much as I ever did
Rather less than I used to
Definitely less than I used to
Hardly at all
I get sudden feelings of panic:
Very often indeed
Quite often
Not very often
Not at all
I can enjoy a good book or radio or TV program:
Often
Sometimes
Not often
Very seldom
Total Score (Depression)
Total Score (Anxiety)
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Enter email address if you would like a copy of the completed questionnaire.