If you would prefer to fill in these questionnaires offline you can download a pdf by clicking on the link.

PHQ-9

Over the last 2 weeks, how often have you been bothered by any of the following problems?	Not at all	Several days	More than half the days	Nearly every day
1. Little interest or pleasure in doing things?
2. Feeling down, depressed, or hopeless?
3. Trouble falling or staying asleep, or sleeping too much?
4. Feeling tired or having little energy?
5. Poor appetite or overeating?
6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down?
7. Trouble concentrating on things, such as reading the newspaper or watching television?
8. Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual?
9. Thoughts that you would be better off dead or of hurting yourself in some way?

IAPT clinical outcome measures state that the recommended cut-off for the PHQ-9 severity index is a score of 9. Anyone who scores 10 or above can be considered to be suffering from clinically significant symptoms of depression.

Scoring:

0-4: none
5-9: mild
10-14: moderate
15-19: moderately severe
20-27: severe

GAD-7

Over the last 2 weeks, how often have you been bothered by any of the following problems?	Not at all	Several days	More than half the days	Nearly every day
1. Feeling nervous, anxious or on edge?
2. Not being able to stop or control worrying?
3. Worrying too much about different things?
4. Trouble relaxing?
5. Being so restless that it is hard to sit still?
6. Becoming easily annoyed or irritable?
7. Feeling afraid as if something awful might happen?

IAPT clinical outcome measures state that the recommended cut off for the GAD-7 severity index is a score of 7. Anyone who scores 8 or above can be considered to be suffering from clinically significant anxiety symptoms.

Scoring:

0-4: none
5-10: mild anxiety
11-15: moderate anxiety
16-21: severe anxiety

Phobia scales

Choose a number from the scale below to show how much you would avoid each of the situations or objects listed below. Then select the number in the box opposite the situation.
0	1	2	3	4	5	6	7	8
Would not avoid it	---	Slightly avoid it	---	Definitely avoid it	---	Markedly avoid it	---	Always avoid it
Social situations due to fear of being embarrassed or making a fool of myself
Certain situations because of fear of having a panic attack or other distressing symptoms (such as loss of bladder control, vomiting or dizziness)
Certain situations because of a fear of particular objects (such as animals, heights, seeing blood, being in confined spaces, driving or flying)

IAPT clinical outcome measures state that the three IAPT phobia questions have not been validated as screening instruments. Rather than add up the three scores to give an overall total, a score of 4 or above on any of the three questions might suggest that it would be helpful to carry out a further assessment as to whether a phobia is present and is interfering with a person's quality of life.

Work and social adjustment scale (adapted)

People's problems sometimes affect their ability to do certain day-to-day tasks in their lives. To rate your problems look at each section and determine on the scale below how much your problem impairs your ability to carry out the activity.
0	1	2	3	4	5	6	7	8
Not at all	---	Slightly	---	Definitely	---	Markedly	---	Very severely
WORK/STUDY - if you are retired or choose not to have a job or to study for reasons unrelated to your problems please put N/A
HOME MANAGEMENT/SELF-CARE - cleaning, tidying, shopping, cooking, looking after home/children, paying bills, exercising, eating healthily, consuming alcohol within government guidelines etc.
SOCIAL LEISURE ACTIVITIES - with other people, e.g. parties, pubs, outings, entertaining etc.
PRIVATE LEISURE ACTIVITIES - done alone, e.g. reading, gardening, sewing, hobbies, walking etc.
FAMILY AND RELATIONSHIPS - form and maintain close relationships with others including the people that I live with

IAPT clinical outcome measures state that the Work and Social Adjustment Scale is a simple 5-item patient self-report measure, which assesses the impact of a person's mental health difficulties on their ability to function in terms of work, home management, social leisure, private leisure and personal or family relationships.

Scoring:

0-9: low impairment
10-19: moderate impairment
20-40: severe impairment

Which questionnaires do you wish to export? PHQ9 GAD7 PHOBIA WASA

Monitoring your progress

To save your scores use the buttons below. If your device supports local storage a copy of your scores will be saved and shown in a table and on a graph. Over time you will see how your scores change. You can delete either individual entries or all your scores in one go. Because your scores are saved locally to update your scores you will need to use the same browser (e.g. Safari, Chrome, Firefox) on the same device. It is important to remember that the security of this data is your responsibility. If this is a shared device or anyone else has access to your browser they will also be able to see your scores.

Important

Please treat your scores on these or any other online questionnaires with caution. Questionnaires cannot be used to make a diagnosis of a mental health condition. Where a mental health condition has been diagnosed by a suitably qualified and experienced health professional these questionnaires may be used as a guide to the current severity of your condition. Always consult with a qualified health professional if you are concerned in any way about your mental health.

If you are worried about your safety, you should immediately consult with your GP or another suitably qualified health professional. If you are in the UK the following numbers might be of help to you:

NHS Emergencies: call 999.
NHS Non-emergency number: call 111.
Samaritans: call 116 123 or email jo@samaritans.org

You can find more guidance and additional helpline numbers on this NHS page: Help for suicidal thoughts

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