DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult

Little interest or pleasure in doing things?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Feeling down, depressed, or hopeless?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Feeling more irritated, grouchy, or angry than usual?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Sleeping less than usual, but still have a lot of energy?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Starting lots more projects than usual or doing more risky things than usual?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Feeling nervous, anxious, frightened, worried, or on edge?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Feeling panic or being frightened?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Avoiding situations that make you anxious?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Feeling that your illnesses are not being taken seriously enough?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Thoughts of actually hurting yourself?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Hearing things other people couldn’t hear, such as voices even when no one was around?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Feeling that someone could hear your thoughts, or that you could hear what another person was thinking?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Problems with sleep that affected your sleep quality over all?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Problems with memory (e.g., learning new information) or with location (e.g., finding your way home)?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Unpleasant thoughts, urges, or images that repeatedly enter your mind?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Feeling driven to perform certain behaviors or mental acts over and over again?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Feeling detached or distant from yourself, your body, your physical surroundings, or your memories?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Not knowing who you really are or what you want out of life?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Not feeling close to other people or enjoying your relationships with them?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Drinking at least 4 drinks of any kind of alcohol in a single day?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Smoking any cigarettes, a cigar, or pipe, or using snuff or chewing tobacco?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

Using any of the following medicines ON YOUR OWN, that is, without a doctor’s prescription, in greater amounts or longer than prescribed [e.g., painkillers (like Vicodin), stimulants (like Ritalin or Adderall), sedatives or tranquilizers (like sleeping pills or Valium), or drugs like marijuana, cocaine or crack, club drugs (like ecstasy), hallucinogens (like LSD), heroin, inhalants or solvents (like glue), or methamphetamine (like speed)]?

None – Not at allSlight – Rare, less than a day or twoMild – Several daysModerate – More than half the daysSevere – Nearly every day

DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult

DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult

hey January 18, 2020

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