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depression

Hospital Anxiety and Depression Scale (HADS) Test

Take the online Hospital Anxiety and Depression Scale (HADS) Test - AI psychologist FreudlyYou can take Hospital Anxiety and Depression Scale (HADS) Test here. Online version of a simple and accurate psychological test with interpretation.en
With 14 questions taking about 3 minutes, the Hospital Anxiety and Depression Scale (HADS) Test offers a focused snapshot of anxiety and depressive symptoms in medical or everyday settings. Your result can highlight symptom severity across both areas, supporting self-reflection and helping you notice patterns worth discussing further.
Questions: 143 minutes
Hospital Anxiety and Depression: test ticket with numbers
October 2, 2025October 2, 2025Material has been updatedOctober 2, 2025Material has been published
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3,685 completions
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Daniel HallPsychologist · Test reviewer
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Scale Explorer

How the Scales are Structured

AnxietyA
Measures the severity of anxiety symptoms, including generalized anxiety and panic-related fears.
example score12/21
12/21Elevatedexample score
0 – 7Normal
8 – 10Borderline
11 – 21Elevated
A score of 12 falls in the Elevated range, indicating a higher level of anxiety symptoms on this scale.
DepressionD
Assesses depressive symptoms focused on low mood and anhedonia in medical patients.
example score8/21
8/21Borderlineexample score
0 – 7Normal
8 – 10Borderline
11 – 21Elevated
A score of 8 falls in the Borderline range, suggesting mild depressive features that may warrant monitoring in the clinical context.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Patients with chronic illness
41%OF USERS
People dealing with ongoing medical conditions who want to check whether anxiety or low mood is affecting their symptoms and daily functioning.
Rehabilitation and injury patients
34%OF USERS
Individuals in medical rehab, including those with movement limitations, who need quick monitoring of emotional well-being during recovery.
Outpatients with unexplained complaints
25%OF USERS
People visiting clinics for fatigue, pain, or other physical issues who want to see if anxiety or depression may be contributing.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
Benchmarking

See How You Compare

Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Shaded area — where most people score
Dot — the average
You — your score lands on each curve after the test— your score, after the test
AnxietyA
You?
Average10.1
Typical rangeTypical6.6 – 13.6
Possible0 – 21
DepressionD
You?
Average14.5
Typical rangeTypical11.2 – 17.9
Possible0 – 21
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SAMPLE QUESTIONS

Example Questions From the Test

This questionnaire is designed to help the clinician understand how you have been feeling. Please read each statement carefully and select the response that best reflects how you felt over the past week. Do not spend too much time on any one statement, as your first response is usually the most accurate.
    • 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
WHAT THE TEST MEASURES

Hospital Anxiety and Depression Scale (HADS) Test - Description and methodology of the test

depression
anxiety disorder

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.

Author: A. S. Zigmond, R. P. Snaith
Literature:
  • 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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