Digital DASS-21 questionnaire

Digital DASS-21 questionnaire
Send the DASS-21 questionnaire digitally to your patients. With Coflow, they answer on their phone or computer before their appointment, with no app and no login.
Each scale is scored the moment they submit. The depression, anxiety and stress scores are waiting for you on the task, and responses write back to your practice management system.
DASS-21
I found it hard to wind down*
Nothing selected
Did not apply to me at all
Applied to me to some degree, or some of the time
Applied to me to a considerable degree, or a good part of time
Applied to me very much, or most of the time
- Sent by SMS or email
- Completed
- Scored
- Filed to your PMS
Try the digital DASS-21
Coflow forms are flexible and mobile responsive. Patients fill it in on any phone or computer, with no app and no login. Scored forms are scored automatically when the patient submits.
Ready to send it digitally?
Add your logo and send the DASS-21 to patients by SMS or email with Coflow. Book a demo and we’ll set it up with you.
DASS-21
Depression Anxiety Stress Scales, short form
Please read each statement and choose the answer 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.
| Over the past week | 0 | 1 | 2 | 3 | |
|---|---|---|---|---|---|
| 1 | I found it hard to wind down | 0 | 1 | 2 | 3 |
| 2 | I was aware of dryness of my mouth | 0 | 1 | 2 | 3 |
| 3 | I couldn't seem to experience any positive feeling at all | 0 | 1 | 2 | 3 |
| 4 | I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion) | 0 | 1 | 2 | 3 |
| 5 | I found it difficult to work up the initiative to do things | 0 | 1 | 2 | 3 |
| 6 | I tended to over-react to situations | 0 | 1 | 2 | 3 |
| 7 | I experienced trembling (eg, in the hands) | 0 | 1 | 2 | 3 |
| 8 | I felt that I was using a lot of nervous energy | 0 | 1 | 2 | 3 |
| 9 | I was worried about situations in which I might panic and make a fool of myself | 0 | 1 | 2 | 3 |
| 10 | I felt that I had nothing to look forward to | 0 | 1 | 2 | 3 |
| 11 | I found myself getting agitated | 0 | 1 | 2 | 3 |
| 12 | I found it difficult to relax | 0 | 1 | 2 | 3 |
| 13 | I felt down-hearted and blue | 0 | 1 | 2 | 3 |
| 14 | I was intolerant of anything that kept me from getting on with what I was doing | 0 | 1 | 2 | 3 |
| 15 | I felt I was close to panic | 0 | 1 | 2 | 3 |
| 16 | I was unable to become enthusiastic about anything | 0 | 1 | 2 | 3 |
| 17 | I felt I wasn't worth much as a person | 0 | 1 | 2 | 3 |
| 18 | I felt that I was rather touchy | 0 | 1 | 2 | 3 |
| 19 | I was aware of the action of my heart in the absence of physical exertion (eg, sense of heart rate increase, heart missing a beat) | 0 | 1 | 2 | 3 |
| 20 | I felt scared without any good reason | 0 | 1 | 2 | 3 |
| 21 | I felt that life was meaningless | 0 | 1 | 2 | 3 |
Scoring the DASS-21
For the practitioner. Detach before handing the questionnaire to a patient.
- Each answer scores the number circled, from 0 to 3. No item is reverse scored.
- Add up the seven items of each scale below. Each scale is scored on its own: there is no combined total.
- Multiply each sum by 2. The 21-item form is half the length of the original 42-item DASS, so doubling puts its scores on the same scale as the severity ratings.
- Find each score’s severity in the table further down. If any item on a scale is unanswered, don’t score that scale.
| Scale | Items | Sum | Score | Severity | |
|---|---|---|---|---|---|
| Depression | 3, 5, 10, 13, 16, 17, 21 | ×2 | |||
| Anxiety | 2, 4, 7, 9, 15, 19, 20 | ×2 | |||
| Stress | 1, 6, 8, 11, 12, 14, 18 | ×2 |
| Severity | Depression | Anxiety | Stress |
|---|---|---|---|
| Normal | 0–9 | 0–7 | 0–14 |
| Mild | 10–13 | 8–9 | 15–18 |
| Moderate | 14–20 | 10–14 | 19–25 |
| Severe | 21–27 | 15–19 | 26–33 |
| Extremely severe | 28+ | 20+ | 34+ |
The DASS-21 measures the severity of depression, anxiety and stress symptoms over the past week. It is not a diagnostic tool: read the scores alongside your own clinical assessment.
Send the DASS-21 digitally
Patients answer on their phone or computer before they arrive, with no app or login. Coflow sends a reminder if they don’t finish, scores it the moment they submit, and files it into your PMS.
- Scored automatically
- Automatic reminders
- Writes back to your PMS
We’ll show you the DASS-21 in Coflow and set it up with you.
Start with the free PDF
We’ll email you the printable DASS-21 and its scoring guide, plus a few ideas for moving your questionnaires online when you’re ready.
On its way. Check your inbox, or download it now.
Download the PDFForm title
Ready to send your forms digitally?
Book a demo and we’ll show you how Coflow sends forms by SMS or email, collects e-signatures and files answers into your practice management software.
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