Perceived Stress Scale
22 reviews
27K+
Installs

Use our readymade template to create your Perceived Stress Scale (PSS) screening tool for stress

Create your care assessments

PSS score Stress Level Proposed treatment
0-13 Low stress May not need treatment
14-26 Moderate stress Consider counseling
27-40 High perceived stress Active treatment
  • navigate_next Prebuilt template with PSS scoring to assess the perception of stress
  • navigate_next 10-item questionnaire that scores each item from “0” (never) to “4” (very often)
  • navigate_next Real-time calculation of PSS Score and stress level based on the form responses
  • navigate_next Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
  • navigate_next Compare the scores from the initial screening with that of the followup to track the progression of stress
  • navigate_next Easily create responsive forms that allow patients to complete their assessments on any device at any time

Collect responses from your patients

Patient ID 1004
Patient Name John W
Patient Email johnw@ymail.com
Patient Phone Number 0987654321
1. In the last month, how often have you been upset because of something that happened unexpectedly? Sometimes
2. In the last month, how often have you felt that you were unable to control the important things in your life? Fairly often
3. In the last month, how often have you felt nervous and stressed? Very often
4. In the last month, how often have you felt confident about your ability to handle your personal problems? Sometimes
5. In the last month, how often have you felt that things were going your way? Almost never
6. In the last month, how often have you found that you could not cope with all the things that you had to do? Very often
7. In the last month, how often have you been able to control irritations in your life? Sometimes
8. In the last month, how often have you felt that you were on top of things? Almost never
9. In the last month, how often have you been angered because of things that happened that were outside of your control? Fairly often
10. In the last month, how often have you felt difficulties were piling up so high that you could not overcome them? Very often
PSS Score 30
Stress Level High perceived stress
  • navigate_next Pre-populate patient details such as patient id, name, email etc in the PSS assessment form before sharing it with the patients
  • navigate_next Send an email invitation with a secure link for patients to complete their PSS assessment form prior to their visit
  • navigate_next Allow patients to save their progress and complete their PSS assessment form at a later time without losing any responses
  • navigate_next Set up an email template for your PSS assessment and automatically send invitation emails to multiple patients with ease
  • navigate_next Send a confirmation email to the patients with their PSS score, diagnosis, next steps when they submit their PSS assessment

Track patient responses in Google Sheets

A B C D E
1 Name Question Answer Score Total Score
2 John W 1. In the last month, how often have you been upset because of something that happened unexpectedly? Sometimes 2 30
3 John W 2. In the last month, how often have you felt that you were unable to control the important things in your life? Fairly often 3 30
4 John W 3. In the last month, how often have you felt nervous and stressed? Very often 4 30
5 John W 4. In the last month, how often have you felt confident about your ability to handle your personal problems? Sometimes 2 30
6 John W 5. In the last month, how often have you felt that things were going your way? Almost never 3 30
7 John W 6. In the last month, how often have you found that you could not cope with all the things that you had to do? Very often 4 30
8 John W 7. In the last month, how often have you been able to control irritations in your life? Sometimes 2 30
9 John W 8. In the last month, how often have you felt that you were on top of things? Almost never 3 30
10 John W 9. In the last month, how often have you been angered because of things that happened that were outside of your control? Fairly often 3 30
11 John W 10. In the last month, how often have you felt difficulties were piling up so high that you could not overcome them? Very often 4 30
  • navigate_next Export patient responses including the calculated PSS score and stress level to Google Sheets for easy record-keeping
  • navigate_next Export individual points for 10 items to Google Sheets for data manipulation and analysis for comprehensive insights
  • navigate_next Use pre-built reports to easily keep track of patient progress over time and monitor changes in their stress levels
  • navigate_next Receive a copy of the response and the calculated PSS score by email whenever a patient submits their PSS assessment
  • navigate_next Use data in Google Sheets to integrate with external EHR systems for seamless data transfer

HIPAA compliance

Patient ID: 1004
Patient Name: ******
Patient Email: ******
Patient Phone Number: ******
1. In the last month, how often have you been upset because of something that happened unexpectedly?: Sometimes
2. In the last month, how often have you felt that you were unable to control the important things in your life?: Fairly often
3. In the last month, how often have you felt nervous and stressed?: Very often
4. In the last month, how often have you felt confident about your ability to handle your personal problems?: Sometimes
5. In the last month, how often have you felt that things were going your way?: Almost never
6. In the last month, how often have you found that you could not cope with all the things that you had to do?: Very often
7. In the last month, how often have you been able to control irritations in your life?: Sometimes
8. In the last month, how often have you felt that you were on top of things?: Almost never
9. In the last month, how often have you been angered because of things that happened that were outside of your control?: Fairly often
10. In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?: Very often
PSS Score: 30
Stress Level: High perceived stress
PSS Score: 30
Stress Level: High perceived stress
  • navigate_next Create a HIPAA compliant PSS assessment form to safely collect, store and access patient responses
  • navigate_next Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
  • navigate_next Automatically mask PHI fields when exporting PSS form responses to Google Sheets and sending them on email
  • navigate_next Prepopulate patient details in PSS assessments by creating secure prefill links without exposing PHI
  • navigate_next Limit access to patient data only for authorized personnel and minimize the risk of data breaches

These reviews are reproduced without modification from Google Workspace Marketplace.

July 27, 2023

5 stars

I am 100% a fan of this company. We use HIPAA compliant Google Forms and needed a way to collect signatures, the industry standard company is TOO expensive. I started using FormEsign and it worked perfectly. It lacked the ability to provide a pdf copy of the form after signature. This company worked with me help their product evolve into something that could benefit all future clients AND the end user. The team was polite, professional, kind, enthusiastic, and willing to make a change. This earned my loyalty. I will sing their praises. Good work, and thank you!

— Royal Bush

July 23, 2023

5 stars

I am not tech savvy. I chose formesign to help create registration links for clients. Vipid has been great in assisting me. He goes above and beyond. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!

— Sol Evans

October 31, 2023

5 stars

We needed a way to create forms with e-signatures and this app made it very easy. Support is also very quick and always helpful. Cannot recommend enough!

— Chris Henesy

February 16, 2024

1 stars

Does not work

— Myles Sicuro

July 12, 2023

5 stars

It very friendly to used. I love it. For my case multiple signature needed. it's supporting

— Senthil Kumar

November 27, 2023

5 stars

Yeah this is good for all

— luqman khan

July 10, 2023

5 stars

We were looking for a way to have a signature option in our form. Formesign addon allowed us to collect signatures for the acknowledgment and consent forms. It was simple and easy to setup. Very useful addon for google forms.

— Joan S

More...
close