K10+

Kessler Psychological Distress Scale (K10+)

Date *

First Name *

Last Name *

Date of birth *

Please enter your legal name in the boxes above to ensure our system is able to match you correctly.

The next few questions are about how these feelings may have affected you in the last four weeks.

You need not answer these questions if you answered ‘None of the time’ to all of the ten questions about your feelings.

11. In the last four weeks, how many days were you TOTALLY UNABLE to work, study or manage your day to day activities because of these feelings?

12. [Aside from those days], in the last 4 weeks, HOW MANY DAYS were you able to work or study or manage your day to day activities, but had to CUT DOWN on what you did because of these feelings?

13. In the last 4 weeks, how many times have you seen a doctor or any other health professional about these feelings?

14. In the last 4 weeks, how often have physical health problems been the main cause of these feelings?

Total score