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The Filey Surgery

 

-who cares.

Station Avenue- Filey - North Yorkshire - YO14 9AE

Phone: 01723 515881 (general, emergencies) / 515666 (appoints)

Fax : 01723 515197 

E Mail: admin@fileysurgery.com

 

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Anxiety & Depression Questionnaire

As at February 2003, this is experimental- please only use this if you are making an appointment to see Dr. Nunn

If you're feeling anxious, down and depressed, it might well help your doctor or nurse if you printed out this questionnaire on your printer , completed it, and bought it with you when you come for your appointment.

You might find it helpful to have a look at a leaflet on stress and anxiety, click here,

If you're feeling down and depressed, you might find a leaflet on depression of use- click here.

HAD Scale

Name:                                 Date:

 

1.      I feel tense or wound up:

Most of the time

 

3

A lot of the time

 

2

Time to time, occasionally

 

1

Not at all

 

0

 

2.      I still enjoy the things I used to enjoy:

Definitely as much

0

 

Not quite as much

1

 

Only a little

2

 

Hardly at all

3

 

 

3.      I get a sort of frightened feeling as if something awful is about to happen:

Very definitely and quite badly

 

3

Yes, but not too badly

 

2

A little, but it doesn't worry me

 

1

Not at all

 

0

 

4.      I can laugh and see the funny side of things:

As much as I always could

0

 

Not quite so much now

1

 

Definitely not so much now

2

 

Not at all

3

 

 

5.      Worrying thoughts go through my mind:

A great deal of the time

 

3

A lot of the time

 

2

From time to time but not too often

 

1

Only occasionally

 

0

 

6.      I  feel cheerful:

Not at all

3

 

Not often

2

 

Sometimes

1

 

Most of the time

0

 

 

7.      I can sit at ease and feel relaxed:

Definitely

 

0

Usually

 

1

Not often

 

2

Not at all

 

3

 

 

 

8.      I feel as if I am slowed down:

Nearly all of the time

3

 

Very often

2

 

Sometimes

1

 

Not at all

0

 

 

9.      I get a sort of frightened feeling like butterflies in my stomach:

Not at all

 

0

Occasionally

 

1

Quite often

 

2

Very often

 

3

 

10. I have lost interest in my appearance:

Definitely

3

 

I don't take as much care I should

2

 

I may not take quite as much care

1

 

I take just as much care as ever

0

 

 

11.       I feel restless as if I have to be on the move:

Very much indeed

 

3

Quite a lot

 

2

Not very much

 

1

Not at all

 

0

 

12.       I look forward with enjoyment to things:

As much as ever I did

0

 

Rather less than I used to

1

 

Definitely less than I used to

2

 

Hardly at all

3

 

 

13.       I get sudden feelings of panic:

Very often indeed

 

3

Quite often

 

2

Not very often

 

1

Not at all

 

0

 

14.       I can enjoy a good book or radio or TV programme:

Often

0

 

Sometimes

1

 

Not often

2

 

Very  seldom

3

 

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