Kessler Psychological Distress Scale

The Kessler Psychological Distress Scale (K10) is a simple measure of psychological distress. The K10 scale involves 10 questions about emotional states each with a five-level response scale. The measure can
be used as a brief screen to identify levels of distress. The tool can be given to patients to complete, or alternatively the questions can be read to the patient by the practitioner.

In the context of injury management, the measure can be provided to the patient where recovery is not proceeding as anticipated (for instance, between weeks four and six), and may highlight the need for more regular review, or referral to a specialist health provider such as a psychologist.
Name*

First NameLast Name
Email*
example@example.com
Pin Code *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Professsion*
1. In the past 4 weeks, about how often did you feel tired out for no good reason?*

All of the timeMost of the timeSome of the timeA little of the timeNone of the time
2. In the past 4 weeks, about how often did you feel nervous?*

All of the timeMost of the timeSome of the timeA little of the timeNone of the time
3. In the past 4 weeks, about how often didyou feel so nervous that nothing couldcalm you down?*

All of the timeMost of the timeSome of the timeA little of the timeNone of the time
4. In the past 4 weeks, about how often did you feel hopeless?*

All of the timeMost of the timeSome of the timeA little of the timeNone of the time
5. In the past 4 weeks, about how often didyou feel restless or fidgety?*

All of the timeMost of the timeSome of the timeA little of the timeNone of the time
6. In the past 4 weeks, about how often did you feel so restless you could not sit still?*

All of the timeMost of the timeSome of the timeA little of the timeNone of the time
7. In the past 4 weeks, about how often did you feel depressed?*

All of the timeMost of the timeSome of the timeA little of the timeNone of the time
8. In the past 4 weeks, about how often did you feel that everything was an effort?*

All of the timeMost of the timeSome of the timeA little of the timeNone of the time
9. In the past 4 weeks, about how often didyou feel so sad that nothing could cheeryou up?*

All of the timeMost of the timeSome of the timeA little of the timeNone of the time
10. In the past 4 weeks, about how often didyou feel worthless?*

All of the timeMost of the timeSome of the timeA little of the timeNone of the time
Total Score
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