The following ten questions ask about how you have been feeling in the last four weeks.
For each question, mark under the option that best describes the amount of time you felt that way.
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| None of the time | A little of the time | Some of the time | Most of the time | All of the time | |||
| In the last four weeks, about how often did you feel tired out for no good reason? |
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| In the last four weeks, about how often did you feel nervous? |
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| In the last four weeks, about how often did you feel so nervous that nothing could calm you down? |
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| In the last four weeks, about how often did you feel hopeless? |
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| In the last four weeks, about how often did you feel restless or fidgety? |
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| In the last four weeks, about how often did you feel so restless you could not sit still? |
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| In the last four weeks, about how often did you feel depressed? |
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| In the last four weeks, about how often did you feel that everything was an effort? |
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| In the last four weeks, about how often did you feel so sad that nothing could cheer you up? |
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| In the last four weeks, about how often did you feel worthless? |
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The next few questions are about how these feelings may have affected you in the last four weeks. You need not answer these questions if you answered 'None of the time' to all of the previous ten questions.
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| In the last four weeks, how many days were you TOTALLY UNABLE to work, study or manage your day to day activities because of these feelings? |
_____ (Number of days) | ||||||
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| [Aside from those days], in the last 4 weeks, HOW MANY DAYS were you able to work or study or manage your day to day activities, but had to CUT DOWN on what you did because of these feelings? |
_____ (Number of days) | ||||||
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| In the last 4 weeks, how many times have you seen a doctor or any other health professional about these feelings? |
_____ (Number of consultations) | ||||||
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| In the last 4 weeks, how often have physical health problems been the main cause of these feelings? None of the time A little of the time Some of the time Most of the time All of the time |
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Well done you have completed the form, remember there are no right or wrong answers.
This form just helps you, your naturopath or other healthcare provider have more information about how you are feeling and your mental health.
Below you will see how to score. Add up your scores. Then read on for more help and guidance.
Kessler 10 Adult Scores
Here are the scores, compare these to the blank form you filled out earlier.
It is better if you fill out the blank form first rather than use this form as this one may influence your responses.
None of the time | A little of the time | Some of the time | Most of the time | All of the time | |||
In the last four weeks, about how often did you feel tired out for no good reason? | 1 | 2 | 3 | 4 | 5 | ||
In the last four weeks, about how often did you feel nervous? | 1 | 2 | 3 | 4 | 5 | ||
In the last four weeks, about how often did you feel so nervous that nothing could calm you down? | 1 | 2 | 3 | 4 | 5 | ||
In the last four weeks, about how often did you feel hopeless? | 1 | 2 | 3 | 4 | 5 | ||
In the last four weeks, about how often did you feel restless or fidgety? | 1 | 2 | 3 | 4 | 5 | ||
In the last four weeks, about how often did you feel so restless you could not sit still? | 1 | 2 | 3 | 4 | 5 | ||
In the last four weeks, about how often did you feel depressed? | 1 | 2 | 3 | 4 | 5 | ||
In the last four weeks, about how often did you feel that everything was an effort? | 1 | 2 | 3 | 4 | 5 | ||
In the last four weeks, about how often did you feel so sad that nothing could cheer you up? | 1 | 2 | 3 | 4 | 5 | ||
In the last four weeks, about how often did you feel worthless? | 1 | 2 | 3 | 4 | 5 | ||
| The additional four questions do not add to the score on the first 10 questions. But they do assess variables relevant to distress that give an indication of the impact or degree of disability associated with your identified degree of psychological distress. |
Results
What happens if you have a score less than 20 but still feel anxious, depressed, distressed or concerned about your mental health?
It is important to remember that the Kessler 10 questionnaire does not cover all aspects of psychological distress or mental health problems. Although it is generally a good guide, you may have a low score but still feel there are some areas that you need some help with. In this case do contact us for naturopathic help with these issues.
Contact Bay Health Clinic today to find out more or to book a consultation with one of our Naturopaths; if needed they will also prepare tailored herbal medicines and recommend supplements to help you feel your best. Call 07 571 3226 or email us: ask@bayhealth.nz
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