Hospital Anxiety and Depression Scale (Hads)

Hospital Anxiety and Depression Scale (HADS)
Patients are asked to choose one response from the four given for each interview. They should give an immediate response and be dissuaded from thinking too long about their answers. The questions relating to anxiety are marked "A", and to depression "D". The score for each answer is given in the right column. Instruct the patient to answer how it currently describes their feelings.

A I feel tense or 'wound up': Most of the time A lot of the time From time to time, occasionally Not at all 3 2 1 0

D

I still enjoy the things I used to enjoy: Definitely as much Not quite so much Only a little Hardly at all 0 1 2 3

I get a sort of frightened A feeling as if something awful is about to happen: Very definitely and quite badly Yes, but not too badly A little, but it doesn't worry me Not at all 3 2 1 0

D

I can laugh and see the funny side of things: As much as I always could Not quite so much now Definitely not so much now Not at all 0 1 2 3

A

Worrying thoughts go through my mind: A great deal of the time A lot of the time From time to time, but not too often Only occasionally 3 2 1 0

D I feel cheerful: Not at all Not often Sometimes Most of the time 3 2 1 0

A

I can sit at ease and feel relaxed: Definitely Usually Not Often Not at all 0 1 2 3

D I feel as if I am slowed down: Nearly all the time Very often Sometimes Not at all 3 2 1 0

I get a sort of frightened A feeling like 'butterflies' in the stomach: Not at all Occasionally Quite Often Very Often 0 1 2 3

D

I have lost interest in my appearance: Definitely I don't take as much care as I should I may not take quite as much care I take just as much care as ever 3 2 1 0

A

I feel restless as I have to be on the move: Very much indeed Quite a lot Not very much Not at all 3 2 1 0

D

I look forward with enjoyment to things: As much as I ever did Rather less than I used to Definitely less than I used to Hardly at all 0 1 2 3