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Kaiser Permanente Questionnaires

Severity Ranges (by questionnaire)

Questionnaire Normal/Mild Distress Moderate Distress Severe Distress Extreme Distress
% at intake (25%) (50%) (15%) (10%)
PHQ9-GAD 0-6 7-15 16-19 20-27

Item List

  • GDS indicates item is included in the Global Distress Scale
    • Items are excluded from the GDS due to a high percentage of respondents reporting no problem and/or low a correlation between them item responses with the global distress factor
  • SA indicates Substance Abuse Scale
    • Items on SA scale tend to have relatively low correlations to GDS scale.

Adult Items

  • Symptoms
    • feel nervous, anxious or on edge? (GDS)
    • not being able to stop or control worrying? (GDS)
    • little interest or pleasure in doing things? (GDS)
    • feeling down, depressed, or hopeless? (GDS)
    • trouble falling asleep or staying asleep, or sleeping too much? (GDS)
    • have a problem with eating (too much or too little)? (GDS)
    • feeling tired or having little energy? (GDS)
    • poor appetite or overeating? (GDS)
    • feeling bad about yourself, or that you are a failure, or that you let yourself or your family down? (GDS)
    • trouble concentrating on things, such as reading the paper or watching television? (GDS)
    • moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual ? (GDS)
  • Substance Abuse
    • since your last visit, how often have you had more than (3 for women, 4 for men) alcoholic drinks? (SA)
    • since you last visit, how often have you use any recreational or street drugs? (SA)
  • Self Harm
    • Thoughts to you would be better off dead, or of hurting yourself in some way? (GDS)
    • Since your last visit, how often have you thought about killing yourself? (GDS)
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