Mental health assessment
Free DASS-21 Depression, Anxiety & Stress Test
Answer 21 short questions about how you felt over the past week. The DASS-21 returns three subscale scores — depression, anxiety, and stress — each with severity interpretation.
Frequently asked questions
What is the DASS-21?
The DASS-21 is a 21-item self-report questionnaire developed by Lovibond and Lovibond in 1995. It measures the severity of depression, anxiety, and stress symptoms over the past week across three 7-item subscales.
Why are scores multiplied by 2?
The DASS-21 is a short form of the original 42-item DASS. Each subscale score is multiplied by 2 so it matches the same severity bands as the full DASS-42, allowing direct comparison of severity categories across the two versions.
Is DASS-21 a diagnosis?
No. The DASS-21 is a dimensional measure of symptom severity, not a diagnostic instrument. A clinician's evaluation is required to confirm any clinical diagnosis.
How are the three subscales different?
Depression items measure dysphoria, hopelessness, and devaluation of life. Anxiety items measure autonomic arousal and situational anxiety. Stress items measure persistent arousal, irritability, and difficulty relaxing.
About this screening tool
The DASS-21 was developed and validated by Lovibond and Lovibond in 1995 as a short form of the original DASS-42. It is freely available for research and clinical use. Symptomatik presents the DASS-21 verbatim; we do not modify, score differently from, or extend the published instrument.
References
Your DASS-21 scores in context
The DASS-21 measures the past week, not the past two weeks the way the PHQ-9 and GAD-7 do. That shorter window makes the snapshot more acute — a particularly difficult seven days can produce a higher score than a month-long average would, and a stable week can understate a pattern that has been running longer. Score swings of 2 to 4 points on any single subscale between two readings are typically situational noise rather than reliable evidence of meaningful change. Track the direction across multiple administrations, not the exact number on any one.
One thing that sometimes surprises people: the scores you see are not the raw numbers you would get by adding your item responses. The DASS-21 is a short form of the original 42-item DASS, with 21 of the 42 questions. Each subscale's raw total is multiplied by two so the severity bands match the DASS-42 cut-offs. A raw Depression subscale total of 8 becomes a displayed score of 16. The 0–42 range per subscale, and the severity band thresholds that go with it, are calibrated to the doubled score. This is how the instrument was designed — not an artifact of this site.
The three subscales are related but distinct. Depression and stress tend to correlate moderately with each other; anxiety correlates with both but captures something different — the physiological, body-level alarm response rather than the chronic tension or the flat low mood. The most common pattern seen clinically is elevated stress alongside elevated depression, with anxiety showing more variability. High anxiety with low depression is also a real and distinct profile. The DASS-21's value is precisely this three-axis picture: it separates out where the load is concentrated, which matters for what kind of support is appropriate.
For tracking change, one to two weeks is the standard retake window on the DASS-21 — enough time for real shifts to register, short enough to catch deterioration before it compounds. When you retake, look at all three subscales together. A drop in stress with no change in depression, or a rise in anxiety while the others hold steady, tells you something more specific than a single total would. The trend across all three subscales over several administrations is what gives you and any clinician you work with the most useful signal.
How to bring this to a clinician
The DASS-21 is widely used in clinical settings and research, and most clinicians working in mental health or primary care will recognize it immediately. You do not need to explain what it is — the three-subscale structure and the doubled scoring convention are both familiar.
What to bring:
- All three subscale scores — depression, anxiety, and stress — not just the highest one. Clinicians read the pattern across the three, and the relative profile matters for how they think about next steps.
- The items you rated 2 (applied to me a considerable degree) or 3 (applied to me very much) on any subscale — the individual items within the dominant subscale tell the clinician more about what is actually happening than the band label alone.
- Which subscale is highest — this affects the referral calculus. Primarily elevated depression points somewhere different than primarily elevated anxiety or primarily elevated stress, even when the overall severity is similar.
- Any recent medication, substance use, or medical change within the same seven-day window the screen covers — thyroid changes, stimulant or sedative use, significant illness, and sleep disruption all affect subscale scores.
A two-line opening you can use as-is:
I took the DASS-21 at home. My scores were: depression [X], anxiety [Y], stress [Z]. The [name] subscale stood out most. I'd like to talk about what to do next.
Most clinicians will follow up by asking which items within the dominant subscale are most affecting daily life. They may also suggest a single-instrument follow-up screen if the profile points clearly toward one dimension — for example, a PHQ-9 if depression is heavily dominant, or a GAD-7 if the anxiety pattern looks more cognitive than physiological. You can print this page or save it as a PDF using your browser's print menu — the scores and items carry through.
If you're reading this with someone who took the test
If you are a partner, parent, or close friend reading this result alongside the person who took the test, this section is addressed to you. The three-subscale structure of the DASS-21 is worth understanding before you respond to what you see on screen. The scores may not all move in the same direction, and they do not all look the same from the outside.
Stress tends to be the most visible subscale to people nearby — irritability, agitation, a short fuse, a wound-up quality that is hard to miss. Depression is often the most hidden. It tends to present as withdrawal, flat affect, and reduced initiative rather than visible distress, which means the people closest to someone frequently underestimate its presence or severity. A person who seems fine — just quieter, less engaged, going through the motions — may be carrying a significantly elevated depression score that the outward presentation doesn't signal. Anxiety in this instrument's framing is the physiological side: racing heart, breathing changes, physical alarm — it may not be visible at all from the outside unless panic episodes are occurring.
Three things that consistently help: paying attention to all three dimensions rather than only the most visible one; offering practical relief calibrated to where the load is concentrated (for stress, removing demands and time pressure; for anxiety, reducing stimulation and unpredictability; for depression, low-stakes presence without expectation or agenda); and checking in specifically about sleep, which is disrupted across all three subscales and is often the easiest concrete entry point for a practical offer of help.
Three things that don't help: focusing only on the subscale that's most visible while missing what's beneath it; telling them to relax or calm down, which lands as dismissal for both the stress and anxiety components; and positive-reframing depression with encouragements to look on the bright side, which consistently reads as the person around them not understanding what they're actually experiencing.
One situation calls for you to act rather than wait: if the Depression subscale is in the severe or extremely severe range and the person mentioned at any point that life feels meaningless — which corresponds to item 21 on the DASS-21 — that is a moment to ask directly and calmly whether they have been thinking about hurting themselves or not wanting to be here. Ask plainly, without trying to soften it away. Listen without trying to talk them out of what they feel. If the answer is yes, help them contact a clinician or crisis service today.
Other screens you might also take
Because the DASS-21 separates depression, anxiety, and stress into three scores, related screens depend on which subscale is most elevated.