Kessler Psychological Distress Scale (K10) Screening Form

Kessler Psychological Distress Scale (K10) Screening Form

Please answer the following questions about how often you experienced certain feelings in the past 30 days. Your responses will be automatically scored to assess psychological distress.
Your Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Your email address*
example@example.com
Your Psychologist/Clinician's Name at Cygnet (this needs to be spelled correctly)*

First NameLast Name
None of the timeA little of the timeSome of the timeMost of the timeAll of the time
None of the timeA little of the timeSome of the timeMost of the timeAll of the time
None of the timeA little of the timeSome of the timeMost of the timeAll of the time
None of the timeA little of the timeSome of the timeMost of the timeAll of the time
None of the timeA little of the timeSome of the timeMost of the timeAll of the time
None of the timeA little of the timeSome of the timeMost of the timeAll of the time
None of the timeA little of the timeSome of the timeMost of the timeAll of the time
None of the timeA little of the timeSome of the timeMost of the timeAll of the time
None of the timeA little of the timeSome of the timeMost of the timeAll of the time
None of the timeA little of the timeSome of the timeMost of the timeAll of the time
Total K10 Score (auto-calculated)
Should be Empty: