Hospital Anxiety and Depression Scale (HADS) Test

How the Scales are Structured
Who Usually Takes This Test?
See How You Compare
Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- Most of the time
- A lot of the time
- From time to time, occasionally
- Not at all
- Definitely as much
- Not quite so much
- Only a little
- Hardly at all
- Very definitely and quite badly
- Yes, but not too badly
- A little, but it does not worry me
- Not at all
Hospital Anxiety and Depression Scale (HADS) Test - Description and methodology of the test
For readers seeking a structured way to reflect on emotional strain during illness, treatment, or ordinary life, using Hospital Anxiety and Depression Scale (HADS) Test can clarify whether anxious arousal or low mood is more noticeable at present. It is intended for people considering their current symptoms. The HADS assessment provides separate results, making the profile easier to understand and discuss.
What This Assessment Explores
Rather than one combined mood score, the questionnaire examines two symptom patterns. Anxiety-related items ask about tension, worry, fearful anticipation, panic, restlessness, and relaxation. Depression-related items address cheerfulness, enjoyment, satisfaction, slowed activity, and interest in ordinary activities. The focus is current experience, not personality traits.
As an anxiety and depression scale, it shows which area is more prominent and how strongly symptoms are reported. It suits people reflecting on distress in medical settings or daily life.
The displayed dimensions are:
- Anxiety (0–21) indicates the severity of anxiety symptoms, including generalized worry and panic-related experiences. Normal is 0–7, Borderline is 8–10, and Elevated is 11–21.
- Depression (0–21) indicates low mood and reduced pleasure while excluding cognitive and suicidal symptoms. Normal is 0–7, Borderline is 8–10, and Elevated is 11–21.
Methodology and Evidence Base
Four ordered response choices describe frequency, intensity, or ability to enjoy and relax. Because statements are worded in different directions, each response is interpreted through the item’s scoring key rather than by positive or negative tone.
Each answer receives 0–3 points, and seven items contribute to each domain total. The totals remain separate, so the profile distinguishes anxious symptoms from depressive symptoms instead of blending them into one result.
The online HADS questionnaire follows the structure of HADS (Zigmond & Snaith, 1983), but it is an online self-report presentation, not a separately validated adaptation of the published instrument. Bjelland et al. (2002) reviewed its validity across studies and emphasized that interpretation depends on context and the threshold applied.
This online presentation does not provide population-specific norms. Current circumstances, response style, and self-awareness can influence answers, so the result is best read as a structured indication of reported symptoms, not as a diagnosis or complete clinical assessment.
- Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. 10.1111/j.1600-0447.1983.tb09716.x
- Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52(2), 69–77. 10.1016/S0022-3999(01)00296-3
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