Welcome to the DASS 21

Please complete the DASS  survey below. Your results will be emailed to you.

Bodycare | Healthworks

PERSONAL DETAILS

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RELEASE OF INFORMATION AND PARTICIPATION CONSENT
Participant Release of Information Consent pursuant to Federal Privacy Act 1988 (AU) or Privacy Act 1993 (NZ)



  • I confirm that my participation in this DASS 21 is voluntary.


  • I acknowledge that any personally identifiable health information obtained in conjunction with this DASS 21 will be protected and will only be used in accordance with this agreement and applicable laws pertaining to the use of personal health information.


  • I understand that any health information obtained, may be used to compile a deidentified aggregate report for my company/employer. While my employer may be notified of my participation, my individually identifiable health information will not be shared with my employer.


  • I understand that the scores on the following self-assessment do not reflect any particular diagnosis or course of treatment. The data collected does not constitute a diagnosis. The responsibility for initiating a follow-up assessment to confirm the results of this survey and obtain professional assistance is mine alone and not that of my employer or any organisation associated with this survey.


  • I hereby give Bodycare Health & Wellbeing Pty Ltd consent to release the de-identified results of my DASS 21 as part of an aggregate result to the relevant department of my employer.

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    DASS 21

    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 - NEVER - did not apply to me at all

    1 - SOMETIMES - applied to me to some degree, or some of the time

    2 - OFTEN - applied to me to a considerable degree, or a good part of time

    3 - ALMOST ALWAYS - applied to me very much, or most of the time

    The DASS 21 questions are below:

    1. I found it hard to wind down
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    2. I was aware of dryness of my mouth
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    3. I couldn’t seem to experience any positive feeling at all
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    4. I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion)
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    5. I found it difficult to work up the initiative to do things
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    6. I tended to over-react to situations
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    7. I experienced trembling (eg, in the hands)
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    8. I felt that I was using a lot of nervous energy
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    9. I was worried about situations in which I might panic and make a fool of myself
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    10. I felt that I had nothing to look forward to
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    11. I found myself getting agitated
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    12. I found it difficult to relax
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    13. I felt down-hearted and blue
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    14. I was intolerant of anything that kept me from getting on with what I was doing
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    15. I felt I was close to panic
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    16. I was unable to become enthusiastic about anything
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    17. I felt I wasn’t worth much as a person
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    18. I felt that I was rather touchy
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    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)
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    20. I felt scared without any good reason
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    21. I felt that life was meaningless
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    Your DASS Score

    Depression Score
    0
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    Anxiety Score
    0
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    Stress Score
    0
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    DASS Severity Ratings

      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+

    What your DASS Score means

    The DASS is a widely used tool used to measure 3 common emotional states: Depression, Anxiety and Stress.

    The DASS consists of 21 questions: 7 questions for each of Depression, Anxiety and Stress.

    Depression, Anxiety and Stress are normal feelings for everyone. When these feelings interfere with life, or occur frequently, it is important to seek professional help.

    The DASS helps to rate the severity of these symptoms compared to the normal population. Accordingly, your score is on a scale ranging from normal to mild; moderate; severe to extremely severe.

    The DASS cannot diagnose a mental illness. A diagnosis can only be made by a health professional so it is important to discuss your score with your GP or your Psychologist.

    You will receive an email with your results.

    DASS21 sourced from: http://www2.psy.unsw.edu.au/dass/