DAS S 21
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Please read each statement and then select a number 0, 1, 2 or 3 which indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.
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The rating scale is as follows:
0 Did not apply to me at all
1 Applied to me to some degree, or some of the time
2 Applied to me to a considerable degree, or a good part of time
3 Applied to me very much, or most of the time
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1
| I found it hard to wind down
| 0 1 2 3
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2
| I was aware of dryness of my mouth
| 0 1 2 3
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3
| I couldn't seem to experience any positive feeling at all
| 0 1 2 3
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4
| I experienced breathing difficulty (eg, excessively rapid breathing,
breathlessness in the absence of physical exertion)
| 0 1 2 3
|
5
| I found it difficult to work up the initiative to do things
| 0 1 2 3
|
6
| I tended to over-react to situations
| 0 1 2 3
|
7
| I experienced trembling (eg, in the hands)
| 0 1 2 3
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8
| I felt that I was using a lot of nervous energy
| 0 1 2 3
|
9
| I was worried about situations in which I might panic and make
a fool of myself
| 0 1 2 3
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10
| I felt that I had nothing to look forward to
| 0 1 2 3
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11
| I found myself getting agitated
| 0 1 2 3
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12
| I found it difficult to relax
| 0 1 2 3
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13
| I felt down-hearted and blue
| 0 1 2 3
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14
| I was intolerant of anything that kept me from getting on with
what I was doing
| 0 1 2 3
|
15
| I felt I was close to panic
| 0 1 2 3
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16
| I was unable to become enthusiastic about anything
| 0 1 2 3
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17
| I felt I wasn't worth much as a person
| 0 1 2 3
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18
| I felt that I was rather touchy
| 0 1 2 3
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19
| 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)
| 0 1 2 3
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20
| I felt scared without any good reason
| 0 1 2 3
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21
| I felt that life was meaningless
| 0 1 2 3
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