Hospital Anxiety and Depression Scale (HADS)

1. I feel tense or “wound up”

most of the time

a lot of the time

from time to time, occasionally

not at all

2. I still enjoy the things I used to enjoy

definitely as much

not quite so much

only a little

hardly at all

3. 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

4. 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

5. Worrying thoughts go through my mind

a great deal of the time

a lot of the time

from time to time

only occasionally

6. I feel cheerful

not at all

not often

sometimes

most of the time

7. I can sit at ease and feel relaxed

definitely

usually

not often

not at all

8. I feel as if I am slowed down

nearly all the time

very often

sometimes

not at all

9. I get a sort of frightened feeling like “butterflies” in the stomach

not at all

occasionally

quite often

very often

10. 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

11. I feel restless as if I have to be on the move

very much indeed

quite a lot

not very much

not at all

12. 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

13. I get sudden feelings of panic

very often indeed

quite often

not very often

not at all

14. I can enjoy a good book or radio or TV program

often

sometimes

not often

very seldom

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