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Kessler 10

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Kessler K10

This questionnaire is designed to measure the intensity of your feelings. By repeating it at intervals we can find out if our treatment plan is working or not. For each question, tick the box that best matches your response.

Practioner*
Name*
First
In the past 4 weeks about how often did you feel...1. Tired out for no good reason?*
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
2. Nervous?*
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
3. So nervous that nothing could calm you down?*
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
4. Hopeless?
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
5. Restless or fidgety*
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
6. So restless you could not sit still?
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
7. Depressed?*
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
8. That everything was an effort?*
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
9. So sad that nothing could cheer you up?*
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
10. Worthless?*
- None of the time
- A little of the time
- Some of the time
- Most of the time
- All of the time
* This information is required to submit this form. Thank you.
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