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Questionnaire template

Perceived Stress Scale (PSS-10)

Measures how unpredictable, uncontrollable and overloaded adults have found their lives over the last month.

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Healthcare · Mental health assessment. All Healthcare templates

Questions in this template

Your Last Month, Part 1

  1. Thank you for taking a few minutes to reflect on the past month. Your answers help us understand how stressful life has felt for you recently.

  2. This questionnaire is the 10-item Perceived Stress Scale (PSS-10) by Sheldon Cohen, Tom Kamarck and Robin Mermelstein (1983).

  3. Your result is a screening aid, not a diagnosis. If stress is affecting your health or daily life, consider speaking with a health professional.

  4. The questions in this scale ask you about your feelings and thoughts during the last month. In each case, please indicate how often you felt or thought a certain way.

    • In the last month, how often have you been upset because of something that happened unexpectedly?
    • In the last month, how often have you felt that you were unable to control the important things in your life?
    • In the last month, how often have you felt nervous and "stressed"?
    • In the last month, how often have you felt confident about your ability to handle your personal problems?
    • In the last month, how often have you felt that things were going your way?

    For each row: choose one:

    • Never
    • Almost never
    • Sometimes
    • Fairly often
    • Very often

Your Last Month, Part 2

  1. The questions in this scale ask you about your feelings and thoughts during the last month. In each case, please indicate how often you felt or thought a certain way.

    • In the last month, how often have you found that you could not cope with all the things that you had to do?
    • In the last month, how often have you been able to control irritations in your life?
    • In the last month, how often have you felt that you were on top of things?
    • In the last month, how often have you been angered because of things that were outside your control?
    • In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?

    For each row: choose one:

    • Never
    • Almost never
    • Sometimes
    • Fairly often
    • Very often

About This Month

  1. What were the main sources of stress for you during the last month? Select all that apply.

    Choose any that apply:

    • Work or studies
    • Money
    • Health
    • Family or caring duties
    • Relationships
    • Other
    • None in particular

  2. What other source of stress did you have?

    Condition: Shown when Other is selected

    Open answer

  3. Compared with a typical month for you, how stressful was the last month?

    Choose one:

    • Less stressful than usual
    • About as stressful as usual
    • More stressful than usual