Dass 21 Form – Fill Out and Use This PDF

The DASS 21 form is a self-report scale designed to measure the magnitude of three related negative emotional states: depression, anxiety, and stress. It asks respondents to use a four-point severity/frequency scale to rate how much each statement applied to them over the past week, providing a quantifiable measure of distress that can span from normal feelings to extremely severe symptoms. For those looking to understand their emotional wellbeing better, filling out the DASS 21 form can be a valuable first step.

Interested in evaluating your own levels of depression, anxiety, and stress? Click the button below to get started with the DASS 21 form.

Get Form Now Download PDF

Dass 21 Form PDF Details

The DASS 21 form, a shortened version of the Depression Anxiety Stress Scales, plays a crucial role in assessing the emotional states of individuals over the previous week. By inviting respondents to rate how much each of twenty-one statements applied to them, using a scale from 0 ("Did not apply to me at all") to 3 ("Applied to me very much, or most of the time"), it provides a quantitative measure of distress along three axes: depression, anxiety, and stress. This introspective assessment tool is designed to capture the varying degrees to which an individual might experience symptoms related to these emotional states, rather than diagnosing clinical conditions. The interpretation of scores is facilitated through a set of cut-off scores, which categorize responses into ranges from normal to extremely severe, thus aiding in identifying individuals who, despite not meeting clinical thresholds, experience significant symptoms. Additionally, it’s important to note that the DASS 21 emphasizes the dimensional nature of emotional states, acknowledging that individuals may experience these emotions to different extents. The tool insists on the importance of considering the results in conjunction with other clinical information when determining appropriate interventions, underlining its function as one part of a comprehensive assessment process. The form, freely available for download under certain conditions, emphasizes its noncommercial purpose and specifies its intention not to replace professional medical advice, diagnosis, or treatment, thereby situating itself as a valuable initial screening resource rather than a solitary diagnostic tool.

Question	Answer
Form Name	Dass 21 Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	dass 21 pdf, dass 21, dass 21 form, dass 21 black dog

Form Preview Example

DASS 21 NAME

DATE

Please read each statement and circle a number 0, 1, 2 or 3 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.

The rating scale is as follows:

0	Did not apply to me at all - NEVER
1	Applied to me to some degree, or some of the time - SOMETIMES
2	Applied to me to a considerable degree, or a good part of time - OFTEN
3	Applied to me very much, or most of the time - ALMOST ALWAYS	FOR OFFICE USE

		N	S	O	AA

1	I found it hard to wind down	0	1	2	3
2
2	I was aware of dryness of my mouth	0	1	2	3

3	I could t see to experience any positive feeling at all	0	1	2	3

4	I experienced breathing difficulty (eg, excessively rapid breathing,	0	1	2	3
4	breathlessness in the absence of physical exertion)	0	1	2	3
	breathlessness in the absence of physical exertion)
5
5	I found it difficult to work up the initiative to do things	0	1	2	3
6
6	I tended to over-react to situations	0	1	2	3
7
7	I experienced trembling (eg, in the hands)	0	1	2	3
8
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	0	1	2	3
9	myself	0	1	2	3
	myself
10
10	I felt that I had nothing to look forward to	0	1	2	3
11
11	I found myself getting agitated	0	1	2	3
12
12	I found it difficult to relax	0	1	2	3
13
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	0	1	2	3
	doing
15	I felt I was close to panic	0	1	2	3
16
16	I was unable to become enthusiastic about anything	0	1	2	3

17	I felt I was t worth much as a person	0	1	2	3
18
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 physicalexertion (eg,	0	1	2	3
	sense of heart rate increase, heart missing a beat)
20	I felt scared without any good reason	0	1	2	3
21
21	I felt that life was meaningless	0	1	2	3

D A S

This document may be freely downloaded and distributed on condition no change is made to the content. The information in this document	TOTALS

is not intended as a substitute for professional medical advice, diagnosis or treatment. Not to be used for commercial purposes and not to
be hosted electronically outside of the Black Dog Institute website. www.blackdoginstitute.org.au

DASS Severity Ratings

The DASS is a quantitative measure of distress along the 3 axes of depression, anxiety1 and stress2. It is not a categorical measure of clinical diagnoses.

Emotional syndromes like depression and anxiety are intrinsically dimensional - they vary along a continuum of severity (independent of the specific diagnosis). Hence the selection of a single cut-off score to represent clinical severity is necessarily arbitrary. A scale such as the DASS can lead to a useful assessment of disturbance, for example individuals who may fall short of a clinical cut-off for a specific diagnosis can be correctly recognised as experiencing considerable symptoms and as being at high risk of further problems.

However for clinical purposes it can be helpful to have labels to characterise degree of severity relative to the population. Thus the following cut-off scores have been developed for defining mild/moderate/severe/ extremely severe scores for each DASS scale.

Note: the severity labels are used to describe the full range of scores in the population, so ild for example means that the person is above the population mean but probably still way below the typical severity of someone seeking help (ie it does not mean a mild level of disorder.

The individual DASS scores do not define appropriate interventions. They should be used in conjunction with all clinical information available to you in determining appropriate treatment for any individual.

1Symptoms of psychological arousal

2The more cognitive, subjective symptoms of anxiety

DASS 21 SCORE

DEPRESSION ANXIETY STRESS

SCORE SCORE SCORE

	Depression			Anxiety	Stress

Normal	0	-	4	0 - 3	0	-	7
Mild	5	-	6	4 - 5	8	-	9
Moderate	7 - 10			6 - 7	10	-	12

Severe	11	-	13	8 - 9	13	-	16

Extremely Severe	14		+	10 +	17		+

N.B. Please note that there are differences in scoring between this measure and the DASS 21 as published on the DASS website http://www2.psy.unsw.edu.au/groups/dass/

This document may be freely downloaded and distributed on condition no change is made to the content. The information in this document is not intended as a substitute for professional medical advice, diagnosis or treatment. Not to be used for commercial purposes and not to be hosted electronically outside of the Black Dog Institute website. www.blackdoginstitute.org.au

How to Edit Dass 21 Form Online for Free

If you intend to fill out dass 21 form pdf, you don't have to install any kind of applications - just give a try to our PDF editor. Our team is devoted to providing you the ideal experience with our editor by consistently adding new capabilities and enhancements. Our tool has become even more intuitive as the result of the latest updates! So now, editing PDF files is simpler and faster than ever before. Should you be seeking to start, here's what you will need to do:

Step 1: First, open the tool by pressing the "Get Form Button" above on this page.

Step 2: The tool enables you to customize PDF documents in a range of ways. Improve it by writing any text, adjust existing content, and add a signature - all close at hand!

This document requires specific data to be entered, so be sure to take some time to enter exactly what is expected:

1. Whenever completing the dass 21 form pdf, be sure to complete all of the essential blank fields in the corresponding area. This will help to hasten the process, allowing for your information to be processed fast and appropriately.

Ways to prepare dass 21 pdf black dog part 1

2. When this array of fields is completed, go to enter the applicable details in all these: I tended to overreact to situations, I experienced trembling eg in the, I felt that I was using a lot of, I was worried about situations in, I felt that I had nothing to look, I found myself getting agitated, I found it difficult to relax, I felt downhearted and blue, I was intolerant of anything that, I felt I was close to panic, and I was unable to become.

Stage number 2 in filling out dass 21 pdf black dog

3. The following step is fairly straightforward, I was unable to become, I felt I wascidcidt worth much as, I felt that I was rather touchy, I was aware of the action of my, I felt scared without any good, I felt that life was meaningless, This document may be freely, and TOTALS - each one of these empty fields will need to be filled out here.

Part # 3 in completing dass 21 pdf black dog

4. Now fill out the next part! In this case you've got all of these SCORE, ANXIETY SCORE, STRESS SCORE, Depression, Anxiety, Normal, Mild, Moderate, Severe, Extremely Severe, Stress, and NB Please note that there are blank fields to do.

How you can prepare dass 21 pdf black dog portion 4

Lots of people generally get some things wrong when filling in NB Please note that there are in this part. Ensure that you reread everything you enter right here.

5. Because you near the final parts of this document, there are actually several extra requirements that have to be satisfied. Mainly, This document may be freely must all be done.

Step 3: Before finishing the form, double-check that all blank fields are filled in properly. As soon as you establish that it's good, click “Done." Grab your dass 21 form pdf as soon as you sign up for a free trial. Quickly access the pdf file inside your personal account page, together with any modifications and changes conveniently preserved! At FormsPal, we aim to be sure that all your details are stored protected.

Dass 21 Form – Fill Out and Use This PDF

Dass 21 Form PDF Details

Form Preview Example

How to Edit Dass 21 Form Online for Free

Dass 21 Form isn’t the one you’re looking for?

Related Documents