Perth Psychology Collective

New Client Enquiries

Perth Psychology Collective

New Client Enquiries

Dass Form

Name*
Contact Number*
Email*

I found it hard to wind down*

I was aware of dryness of my mouth*

I couldn't seem to experience any positive feeling at all*

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

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

I tended to over-react to situations*

I experienced trembling (eg, in the hands)*

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

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

I felt that I had nothing to look forward to*

I found myself getting agitated*

I found it difficult to relax*

I felt down-hearted and blue*

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

I felt I was close to panic*

I was unable to become enthusiastic about anything*

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

I felt that I was rather touchy*

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

I felt scared without any good reason*

I felt that life was meaningless*

Your results are below, please submit these results.
Stress Score
Depression Score
Anxiety Score
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