Mental health self-assessment checklist (K10)

The questions in this checklist relate to how you have been feeling over the past four weeks. Click the box next to each question that best reflects how you are feeling.

Your answers and results are confidential, after completing the checklist you can print your results for your records or to give to your GP.

Please ensure that you have selected an answer for every question.

In the past 4 weeks...

In the past 4 weeks...	None of the time	A little of the time	Some of the time	Most of the time	All of the time
About how often did you feel tired out for no good reason?	None of the time	A little of the time	Some of the time	Most of the time	All of the time
About how often did you feel nervous?	None of the time	A little of the time	Some of the time	Most of the time	All of the time
About how often did you feel so nervous that nothing could calm you down?	None of the time	A little of the time	Some of the time	Most of the time	All of the time
About how often did you feel hopeless?	None of the time	A little of the time	Some of the time	Most of the time	All of the time
About how often did you feel restless or fidgety?	None of the time	A little of the time	Some of the time	Most of the time	All of the time
About how often did you feel so restless you could not sit still?	None of the time	A little of the time	Some of the time	Most of the time	All of the time
About how often did you feel depressed?	None of the time	A little of the time	Some of the time	Most of the time	All of the time
About how often did you feel that everything was an effort?	None of the time	A little of the time	Some of the time	Most of the time	All of the time
About how often did you feel so sad that nothing could cheer you up?	None of the time	A little of the time	Some of the time	Most of the time	All of the time
About how often did you feel worthless?	None of the time	A little of the time	Some of the time	Most of the time	All of the time

Professor Ronald C. Kessler of the Department of Health Care Policy, Harvard Medical School is thanked for the use of the K-10 funded by US Public Health Service Grants (RO1 MH46376, RO1 MH52861, RO1 MH49098, and KO5 MH00507 and by the John D. and Catherine T. MacArthur Foundation Network on Successful Midlife Development (Gilbert Brim, Director).