Stress and Anxiety to Viral Epidemics-9 (SAVE-9) 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
- Never
- Rarely
- Sometimes
- Often
- Constantly
- Never
- Rarely
- Sometimes
- Often
- Always
- Never
- Rarely
- Sometimes
- Often
- Constantly
Stress and Anxiety to Viral Epidemics-9 (SAVE-9) Test - Description and methodology of the test
For healthcare workers and other people reflecting on epidemic-related strain, this questionnaire offers a focused way to organize fears, social concerns, and bodily stress reactions. Answers refer to the present wave of work and daily life. This snapshot of current epidemic-related stress helps respondents see how difficulty appears across particular situations or throughout their response to an outbreak. In this context, the Stress and Anxiety to Viral Epidemics-9 (SAVE-9) Test provides the structure.
What This Assessment Explores
The SAVE-9 questionnaire examines outbreak-related stress rather than stable personality traits. Its situations include fear that illness will continue, concern about infection or worsening health, attention to minor symptoms, fear of transmitting infection, and unease about contact, quarantine, workload, or professional duties. The results describe social strain, anxiety-related physical symptoms, and overall distress related to the epidemic; they do not establish which area is the main source of difficulty.
The result organizes responses into three reported scales:
- Social Stress (0-20) measures epidemic-related strain from restrictions, isolation, changed activity, and social discomfort. Bands: Low 0-6; Moderate 7-13; High 14-20.
- Anxiety and Somatic Symptoms (0-16) measures anxiety and physical stress manifestations. Bands: Low 0-5; Moderate 6-11; High 12-16.
- Stress and Anxiety Scale (0-36) measures overall epidemic-related distress; higher results may signal a need for added support. Bands: Low 0-17; Elevated 18-36.
Methodology and Evidence Base
Each item asks about an epidemic-related situation and uses five ordered, numbered choices, from Never through Rarely, Sometimes, Often, and Constantly or Always. This format records how often a concern is present; the result then shows scale scores with their interpretation bands. The online presentation does not document how responses are transformed or aggregated to produce the reported ranges, so no scoring rule should be inferred.
The closest source is SAVE-9, a published instrument for work-related stress and anxiety during viral epidemics. Japanese and Turkish validation studies examined translated SAVE-9 instruments and reported relationships with insomnia, anxiety, depression, and other measures. Together, this evidence concerns published or translated SAVE-9 instruments, but it does not establish norms or validation for the displayed scoring and bands in this presentation.
As an epidemic stress assessment, the result supports structured self-reflection: compare the pattern across scales, notice which situations are most activating, and track whether distress changes. Scores are not diagnoses. Responses may be influenced by current circumstances, memory, willingness to disclose, and attention to bodily sensations, so interpretation should include the wider context.
- Chung S, Kim HJ, Ahn MH, Yeo S, Lee J, Kim K, Kang S, Suh S, Shin YW. Development of the Stress and Anxiety to Viral Epidemics-9 (SAVE-9) Scale for Assessing Work-related Stress and Anxiety in Healthcare Workers in Response to Viral Epidemics. Journal of Korean Medical Science. 2021;36(47):e319. 10.3346/jkms.2021.36.e319
- Okajima I, Chung S, Suh S. Validation of the Japanese version of Stress and Anxiety to Viral Epidemics-9 (SAVE-9) and relationship among stress, insomnia, anxiety, and depression in healthcare workers exposed to coronavirus disease 2019. Sleep Medicine. 2021;84:397-402. 10.1016/j.sleep.2021.06.035
- Uzun N, Akça ÖF, Bilgiç A, Chung S. The validity and reliability of the Stress and Anxiety to Viral Epidemics-9 items Scale in Turkish health care professionals. Journal of Community Psychology. 2022;50(2):797-805. 10.1002/jcop.22680
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