Cyberchondria Severity Scale (CSS-12) Test

In 3 minutes, see how online symptom searching may fuel health anxiety. This brief 12-item check gives clear, actionable insight for screening and tracking change.
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Questions123 minutes
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08:30
October 2, 2025
October 2, 2025
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How the Scales are Structured
example score
14/15
Compulsivity (C)
Measures how difficult it is to control online health-information searching when it becomes repetitive and interferes with daily activities.
Low
Moderate
High
37Low811Moderate1215High
A score of 14 falls in the High range, indicating very frequent and hard-to-control health-related searching that is likely to disrupt other activities.
example score
10/15
Reassurance-Seeking (R)
Measures how strongly a person seeks professional confirmation of symptoms after searching for health information online.
Low
Moderate
High
37Low811Moderate1215High
A score of 10 falls in the Moderate range, suggesting a noticeable tendency to want reassurance from professionals after online symptom searches.
example score
8/15
Distress (D)
Measures the intensity of negative emotions (e.g., anxiety, panic, irritability) triggered by searching for medical information online.
Low distress
Moderate distress
High distress
36Low distress711Moderate distress1215High distress
A score of 8 falls in the Moderate distress range, suggesting noticeable but not extreme negative emotional reactions during online health searches.
example score
5/15
Excessiveness (E)
Measures how repeatedly a person searches for health information online across multiple sessions.
Low
Moderate
High
36Low711Moderate1215High
A score of 5 falls in the Low range, suggesting relatively infrequent repetition of online medical searches.
example score
31/60
Cyberchondria Severity (CS)
Measures the overall severity of cyberchondria, reflecting how strongly online health-information searching is linked to anxiety and stress.
Low
Moderate
High
1227Low2843Moderate4460High
A score of 31 falls in the Moderate range, suggesting a noticeable tendency toward repeated online symptom checking that can be accompanied by increased worry or tension.
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DATA-BASED USER COHORTS
Who Usually Takes This Test?
Worried symptom googlers
46%OF USERS
People who frequently search symptoms online and end up feeling more anxious, confused, or panicked afterward.
Anxiety-prone health checkers
34%OF USERS
People with general anxiety or health anxiety who use the test to see whether online medical searching is feeding their worries.
Clinicians and researchers
20%OF USERS
Psychologists, psychotherapists, and survey teams who use the scale to screen, monitor, or study cyberchondria in groups.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
RESULTS YOU CAN ACTUALLY USE
What You’ll See After You Finish the Test
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Benchmarking
See How You Compare
Once you finish the test, your results will be compared with real-world data from people in your country.
Below is a preview of the benchmarks we use to place your score in context.
Compulsiveness (C)
Average
11.4
Normal range
9.912.8
min.
3
max.
15
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Insecurity (I)
Average
10.6
Normal range
8.612.5
min.
3
max.
15
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Distress (D)
Average
10.5
Normal range
8.512.5
min.
3
max.
15
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Excessiveness (E)
Average
10.5
Normal range
8.612.4
min.
3
max.
15
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
Severity of Cyberchondria (SoC)
Average
29.2
Normal range
2137.4
min.
12
max.
60
majority
This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.
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CLEAR ANSWERS TO COMMON QUESTIONS
Frequently Asked Questions

Any questions left?

What does this questionnaire measure?
It measures the extent to which online symptom searching becomes repetitive and increases health-related distress. It focuses on patterns of searching, checking, and escalation of worry.
How should responses be rated?
Each item should be rated based on typical experiences rather than rare events. Select the option that best matches usual reactions to searching for health information online.
How long does it take to complete?
Completion typically takes about 3 minutes. The questionnaire includes 12 items.
Does the score provide a medical diagnosis?
No, results indicate severity of cyberchondria-related behaviors and distress, not a medical condition. Interpretation should be combined with clinical evaluation when used in healthcare settings.
What is the difference between this version and the earlier longer version?
This version is a shortened revision designed to improve clarity and efficiency. It excludes items focused on distrust of doctors, which did not consistently improve overall assessment.
WHAT THE TEST MEASURES
About This Assessment

Cyberchondria Severity Scale (CSS-12) Test

This self-report measure assesses the severity of distress and impairment related to excessive online health-information searching. The Cyberchondria Severity Scale (CSS-12) is commonly used as a brief screening tool to quantify cyberchondria-related behaviors and associated anxiety symptoms.

The instrument contains 12 items and typically requires about 3 minutes to complete. Items ask respondents to rate the frequency or intensity of experiences such as repetitive searching, escalating worry after searching, and difficulty disengaging from health-related information.

Developed by D. Berle and V. Starcevic, the Cyberchondria Severity Scale (CSS-12) can be used in clinical and research settings to support symptom monitoring and to inform case formulation when problematic health-related internet use is suspected. Scores should be interpreted in context and are not a stand-alone diagnostic indicator.

Author: D. Berle, V. Starcevic
Literature: Taylor, S., & Asmundson, G. J. G. Health anxiety: Clinical and research perspectives on hypochondriasis and related conditions. Wiley. 2004.; Starcevic, V., & Berle, D. Cyberchondria: Towards a better understanding of excessive health-related Internet use. Expert Review of Neurotherapeutics. 2013.; McElroy, E., & Shevlin, M. The development and initial validation of the cyberchondria severity scale (CSS). Journal of Anxiety Disorders. 2014.; McElroy, E., Shevlin, M., Kearney, M., Touhey, J., Evans, J., & Cooke, Y. The CSS-12: Development and validation of a short-form version of the cyberchondria severity scale. Cyberpsychology, Behavior and Social Networking. 2019.
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