Aspen Day Treatment Outcome Measure

DASS21 Outcome Measure

Please read each state and indicate how much the statement applied to you over the past week. There are no right or wrong answers. Do not send too much time on any statement.

0 Did not apply to me at all

1 Applied to me to some degree or some of the time

2 Applied to med to a considerable degree, or a good part of time.

3 Applied to me very much, or most of the time

Question Title

* 1. I find it hard to wind down

	0	1	2	3
Severity	Severity 0	Severity 1	Severity 2	Severity 3

Question Title

* 2. I was aware of dryness of my mouth

	0	1	2	3
Severity	Severity 0	Severity 1	Severity 2	Severity 3

Question Title

* 3. I couldn't seem to experience any positive feelings at all

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 4. I experienced breathing difficulty (eg. excessively rapid breathing, breathlessness in the absence of physical exertion)

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 5. I found it difficult to work up the initiative to do things

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 6. I tended to over-react to situations

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 7. I experienced trembling (eg, in the hands)

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 8. I felt that I was using a lot of nervous energy

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 9. I was worried about situations in which I might panic and make a fool of myself

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 10. I felt that I had nothing to look forward to

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 11. I found myself getting agitated

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 12. I found it difficult to relax

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 13. I felt down-hearted and blue

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 14. I was intolerant of anything that kept me from getting on with what I was doing

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 15. I felt I was close to panic

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 16. I was unable to become enthusiastic about anything

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 17. I felt I wasn't worth much as a person

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 18. I felt that I was rather touchy

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 19. I was aware of the action of my heart in the absence of physical exertion (eg. sense of heart rate increase, heart is missing a beat)

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 20. I felt scared without any good reason

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3

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* 21. I felt that life was meaningless

	0	1	2	3
severity	severity 0	severity 1	severity 2	severity 3