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Hospital Anxiety and Depression Scale

The Hospital Anxiety and Depression Scale (HADS) is a psychological self-assessment questionnaire designed to screen for anxiety and depression in both hospital and community settings.

2 minutes to complete

Eligibility

To be eligible to complete the Hospital Anxiety and Depression Scale (HADS), you must be 18 years or older and be able to understand and complete the questionnaire independently.

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Questions for Hospital Anxiety and Depression Scale

Questions

1.

I feel tense or 'wound up'

The answer should be a single choice:
  1. Most of the time
  2. A lot of the time
  3. From time to time, occasionally
  4. Not at all
2.

I still enjoy the things I used to enjoy

The answer should be a single choice:
  1. Definitely as much
  2. Not quite so much
  3. Only a little
  4. Hardly at all
3.

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

The answer should be a single choice:
  1. Very definitely and quite badly
  2. Yes, but not too badly
  3. A little, but it doesn't worry me
  4. Not at all
4.

I can laugh and see the funny side of things

The answer should be a single choice:
  1. As much as I always could
  2. Not quite so much now
  3. Definitely not so much now
  4. Not at all
5.

Worrying thoughts go through my mind

The answer should be a single choice:
  1. A great deal of the time
  2. A lot of the time
  3. From time to time, but not too often
  4. Only occasionally
6.

I feel cheerful

The answer should be a single choice:
  1. Not at all
  2. Not often
  3. Sometimes
  4. Most of the time
7.

I can sit at ease and feel relaxed

The answer should be a single choice:
  1. Definitely
  2. Usually
  3. Not Often
  4. Not at all
8.

I feel as if I am slowed down

The answer should be a single choice:
  1. Nearly all the time
  2. Very often
  3. Sometimes
  4. Not at all
9.

I get a sort of frightened feeling like 'butterflies' in the stomach

The answer should be a single choice:
  1. Not at all
  2. Occasionally
  3. Quite Often
  4. Very Often
10.

I have lost interest in my appearance

The answer should be a single choice:
  1. Definitely
  2. I don't take as much care as I should
  3. I may not take quite as much care
  4. I take just as much care as ever
11.

I feel restless as I have to be on the move

The answer should be a single choice:
  1. Very much indeed
  2. Quite a lot
  3. Not very much
  4. Not at all
12.

I look forward with enjoyment to things

The answer should be a single choice:
  1. As much as I ever did
  2. Rather less than I used to
  3. Definitely less than I used to
  4. Hardly at all
13.

I get sudden feelings of panic

The answer should be a single choice:
  1. Very often indeed
  2. Quite often
  3. Not very often
  4. Not at all
14.

I can enjoy a good book or radio or TV program

The answer should be a single choice:
  1. Often
  2. Sometimes
  3. Not often
  4. Very Seldom

Scales Similar to Hospital Anxiety and Depression Scale

  • The Health Anxiety Inventory
  • The Depression Anxiety Stress Scales
  • Beck Anxiety Inventory
  • The Impact of Event Scale-Revised
  • The Patient Health Questionnaire
  • The State-Trait Anxiety Inventory

Here are some FAQs and additional information
on Hospital Anxiety and Depression Scale

What is the Hospital Anxiety and Depression Scale (HADS)?

The Hospital Anxiety and Depression Scale (HADS) is a self-administered questionnaire designed to screen for symptoms of anxiety and depression in both clinical and non-clinical populations. It consists of 14 items, each of which are rated on a 4-point Likert scale ranging from 0 to 3.

What are the two subscales of the HADS?

The HADS has two subscales: Anxiety (HADS-A) and Depression (HADS-D). Each subscale is composed of 7 items, with scores ranging from 0 to 21.

How is the HADS scored?

Scores of 0-7 indicate no anxiety or depression, 8-10 indicate mild anxiety or depression, and 11-21 indicate abnormal anxiety or depression.

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