Standard questionnaires · questionnaire

Sample پرسشنامه پریشانی روانی کسلر (K10)

مقیاس پریشانی روانشناختی کسلر (K10) با ۱۰ سؤال درباره‌ی چهار هفته‌ی گذشته؛ نمره‌ی ۱۰ تا ۵۰ و سطحِ پریشانی (کم، متوسط، زیاد، خیلی زیاد) خودکار حساب و برای پاسخ‌دهنده تفسیر می‌شود.

10 questions · Free up to 50 responses a month

Print-ready Word and PDF files — free, no sign-up.

About this template

“پرسشنامه پریشانی روانی کسلر (K10)” has 10 questions; every question is required. Question types: Single choice (10). 50 ready-made options across 10 choice questions, all editable in the online version.

Questions in this template

  1. 1.

    در چهار هفته‌ی گذشته، چند وقت یک بار بی‌دلیلِ مشخصی احساسِ خستگیِ شدید کرده‌اید؟ *

    (Single choice)
    • هیچ‌وقت
    • کمی از اوقات
    • گاهی
    • بیشتر اوقات
    • همیشه
  2. 2.

    در چهار هفته‌ی گذشته، چند وقت یک بار احساسِ عصبی بودن کرده‌اید؟ *

    (Single choice)
    • هیچ‌وقت
    • کمی از اوقات
    • گاهی
    • بیشتر اوقات
    • همیشه
  3. 3.

    در چهار هفته‌ی گذشته، چند وقت یک بار آن‌قدر عصبی بوده‌اید که هیچ چیز آرامتان نمی‌کرد؟ *

    (Single choice)
    • هیچ‌وقت
    • کمی از اوقات
    • گاهی
    • بیشتر اوقات
    • همیشه
  4. 4.

    در چهار هفته‌ی گذشته، چند وقت یک بار احساسِ ناامیدی کرده‌اید؟ *

    (Single choice)
    • هیچ‌وقت
    • کمی از اوقات
    • گاهی
    • بیشتر اوقات
    • همیشه
  5. 5.

    در چهار هفته‌ی گذشته، چند وقت یک بار احساسِ بی‌قراری یا ناآرامی کرده‌اید؟ *

    (Single choice)
    • هیچ‌وقت
    • کمی از اوقات
    • گاهی
    • بیشتر اوقات
    • همیشه
  6. 6.

    در چهار هفته‌ی گذشته، چند وقت یک بار آن‌قدر بی‌قرار بوده‌اید که نمی‌توانستید آرام بنشینید؟ *

    (Single choice)
    • هیچ‌وقت
    • کمی از اوقات
    • گاهی
    • بیشتر اوقات
    • همیشه
  7. 7.

    در چهار هفته‌ی گذشته، چند وقت یک بار احساسِ افسردگی کرده‌اید؟ *

    (Single choice)
    • هیچ‌وقت
    • کمی از اوقات
    • گاهی
    • بیشتر اوقات
    • همیشه
  8. 8.

    در چهار هفته‌ی گذشته، چند وقت یک بار احساس کرده‌اید که انجامِ هر کاری برایتان زحمت و تقلاست؟ *

    (Single choice)
    • هیچ‌وقت
    • کمی از اوقات
    • گاهی
    • بیشتر اوقات
    • همیشه
  9. 9.

    در چهار هفته‌ی گذشته، چند وقت یک بار آن‌قدر غمگین بوده‌اید که هیچ چیز حالتان را بهتر نمی‌کرد؟ *

    (Single choice)
    • هیچ‌وقت
    • کمی از اوقات
    • گاهی
    • بیشتر اوقات
    • همیشه
  10. 10.

    در چهار هفته‌ی گذشته، چند وقت یک بار احساسِ بی‌ارزشی کرده‌اید؟ *

    (Single choice)
    • هیچ‌وقت
    • کمی از اوقات
    • گاهی
    • بیشتر اوقات
    • همیشه

What does the K10 measure?

Non-specific psychological distress — symptoms of anxiety and depression — over the last four weeks. It was built for screening in the general population and national health surveys, not to diagnose any specific disorder.

Number of items
10
Time to complete
2–3 minutes
Score range
10 to 50
Reversed items
None
Response scale
Five options: none of the time (1), a little of the time (2), some of the time (3), most of the time (4), all of the time (5)
Authors
Ronald Kessler and colleagues, 2002

This questionnaire is a screening tool, not a diagnosis; only a qualified mental-health professional can diagnose. If you feel severe distress or have thoughts of harming yourself, call Iran's social emergency line 123 or the counselling line 1480 now, or go to the nearest medical centre.

Scoring the K10

  1. None of the time = 1, a little of the time = 2, some of the time = 3, most of the time = 4, all of the time = 5.
  2. The total is the sum of the ten items, from 10 to 50; there are no reversed items.
  3. In this template a calculated field adds the items with SCORE() and another one assigns the distress level.

Interpreting K10 scores

ScoreLevelSuggested action
10–15Low—
16–21Moderate—
22–29HighProfessional assessment recommended
30–50Very highProfessional assessment recommended

These ranges come from Andrews and Slade (2001) and are used in Australian health surveys; other populations have reported different cut-offs.

K10 validity and reliability

  • Kessler et al. (2002) selected the items from a larger pool using item response theory so that the scale is most precise in the high-distress range, where most clinical cases lie.
  • The K10 and its shorter K6 version have been used in national health surveys in the US and Australia and in the WHO World Mental Health Surveys.

Using the K10 in your thesis with Porsino

  1. Sign up for free and click "Build a form from this template"; the items, options and every option's score (reversed items included) are ready.
  2. If you need demographic questions (age, gender, education), add them on a separate page; keep the item wording and order unchanged so the scoring stays valid.
  3. Publish the form and send its short link or QR code to your research sample; respondents fill it in without signing up and see their score and its interpretation at the end.
  4. Each respondent's total score and level are saved automatically in separate columns; export to Excel or SPSS from the responses page and go straight to analysis.

Source and translation

Original instrument: Ronald Kessler and colleagues, 2002

  • Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S.-L. T., Walters, E. E., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976.
  • Andrews, G., & Slade, T. (2001). Interpreting scores on the Kessler Psychological Distress Scale (K10). Australian and New Zealand Journal of Public Health, 25(6), 494–497.

The K10 is free to use for research and screening; cite the source.

Translated by Porsino; for formal research, cite a validated (normed) Persian version.

Frequently asked questions about the K10

How many items does the Kessler K10 have?

Ten questions about the last four weeks with five options (1–5); the total runs from 10 to 50.

How is the K10 score interpreted?

Following Andrews and Slade (2001): 10–15 low, 16–21 moderate, 22–29 high and 30–50 very high.

How is the K10 different from the PHQ-9?

The K10 measures overall psychological distress (anxiety and depression together) over four weeks; the PHQ-9 measures only depressive symptom severity over two weeks.

Printable version (Word & PDF)

  • For filling in on paper, signing and filing by hand
  • Edit the Word file any way you like
  • Collecting and typing up the answers is up to you

Online version on Porsino

  • Answers are collected and organised automatically — no retyping
  • National ID, mobile number and dates are validated instantly
  • Ready-made reports and charts, plus Excel export in one click
  • Share a link or QR code — it works on mobile too

How do I use this template?

  1. Sign up for Porsino for free; no bank card needed.
  2. In the panel, open “Templates” and choose “پرسشنامه پریشانی روانی کسلر (K10)”.
  3. Change the questions as you like, publish the form and send the link.
All standard questionnaires