Home
About Us
Our Board
Our Team
Our Partners
Reports
Your Health
Resources
Enrolment
Fees
Health Professionals
Services
Careers
Find a GP
News
Contact
Home
About Us
Our Board
Our Team
Our Partners
Reports
Your Health
Resources
Enrolment
Fees
Health Professionals
Services
Careers
Find a GP
News
Contact
Kessler 10
Home
/
Kessler 10
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
*
Anna
Bernie
Linda
Paul
Simon
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.
CAPTCHA
Share
Contact