Digital K10 questionnaire (survey cut-offs)

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Free template

Digital K10 questionnaire (survey cut-offs)

Send the K10 questionnaire digitally to your patients. With Coflow, they answer on their phone or computer before their appointment, with no app and no login.

The total is scored the moment they submit and banded to the ABS survey cut-offs. The score is waiting for you on the task, and responses write back to your practice management system.

Stored in Australia
No patient app or login
Scored automatically
Writes back to your PMS

Try the digital K10

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.

k10-survey.pdfPage 1 of 2

K10 — survey cut-offs (ABS)

Preview only. Nothing you choose is saved or sent.

K10

For each question, choose the answer that best describes how often you had that feeling.

In the past 4 weeks, about how often did you feel tired out for no good reason?
In the past 4 weeks, about how often did you feel nervous?
In the past 4 weeks, about how often did you feel so nervous that nothing could calm you down?
In the past 4 weeks, about how often did you feel hopeless?
In the past 4 weeks, about how often did you feel restless or fidgety?
In the past 4 weeks, about how often did you feel so restless you could not sit still?
In the past 4 weeks, about how often did you feel depressed?
In the past 4 weeks, about how often did you feel that everything was an effort?
In the past 4 weeks, about how often did you feel so sad that nothing could cheer you up?
In the past 4 weeks, about how often did you feel worthless?

Send the K10 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
Book a demo

We’ll show you the K10 in Coflow and set it up with you.

Start with the free PDF

We’ll email you the printable K10 and its scoring guide, plus a few ideas for moving your questionnaires online when you’re ready.

Form title

Writes back to
  • Gentu
  • MediRecords
  • Halaxy
  • and more: Nookal and Cliniko

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.