HADS HADS Your Name Date of Birth Gender ---FemaleMale Surgery Dr Date PLEASE SELECT THE OPTION THAT IS CLOSEST TO HOW YOU HAVE BEEN FEELING IN THE PAST WEEK. DON’T TAKE TOO LONG OVER YOUR REPLIES: YOUR IMMEDIATE ANSWER IS BEST. DEPRESSION: I still enjoy the things I used to enjoy: ---0 Definitely as much1 Not quite so much2 Only a little3 Hardly at all I feel as if I am slowed down ---0 Not at all1 Sometimes2 Very often3 Nearly all the time I have lost interest in my appearance: ---0 I take just as much care as ever1 I may not take quite as much care2 I don't take as much care as I should3 Definitely I can laugh and see the funny side of things: ---0 As much as I always could1 Not quite so much now2 Definitely not so much now3 Not at all I look forward with enjoyment to things: ---0 As much as I ever did1 Rather less than I used to2 Definitely less than I used to3 Hardly at all I feel cheerful: ---0 Most of the time1 Sometimes2 Not often3 Not at all I can enjoy a good book or radio or TV program: ---0 Often1 Sometimes2 Not often3 Very rarely ANXIETY: I feel tense or 'wound up': I feel as if I am slowed down: ---0 Not at all1 From time to time, occasionally2 A lot of the time3 Most of the time I get a sort of frightened feeling like 'butterflies' in the stomach: ---0 Not at all1 Occasionally2 Quite Often3 Very Often I get a sort of frightened feeling as if something awful is about to happen: ---0 Not at all1 A little, but it doesn't worry me2 Yes, but not too badly3 Very definitely and quite badly I feel restless as I have to be on the move: ---0 Not at all1 Not very much2 Quite a lot3 Very much indeed Worrying thoughts go through my mind: ---0 Only occasionally1 From time to time, but not too often2 A lot of the time3 A great deal of the time I get sudden feelings of panic: ---0 Not at all1 Not very often2 Quite often3 Very often indeed I can sit at ease and feel relaxed: ---0 Definitely1 Usually2 Not Often3 Not at all THANK YOU FOR COMPLETING THIS QUESTIONNAIRE STAFF USE ONLY Participants NHS Number: Researchers Name: NHS Site Number:
