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 |
- Prebuilt template with PSS scoring to assess the perception of stress
- 10-item questionnaire that scores each item from “0” (never) to “4” (very often)
- Real-time calculation of PSS Score and stress level based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of stress
- 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 |
- Pre-populate patient details such as patient id, name, email etc in the PSS assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their PSS assessment form prior to their visit
- Allow patients to save their progress and complete their PSS assessment form at a later time without losing any responses
- Set up an email template for your PSS assessment and automatically send invitation emails to multiple patients with ease
- 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 |
- Export patient responses including the calculated PSS score and stress level to Google Sheets for easy record-keeping
- Export individual points for 10 items to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their stress levels
- Receive a copy of the response and the calculated PSS score by email whenever a patient submits their PSS assessment
- 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 |
- Create a HIPAA compliant PSS assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting PSS form responses to Google Sheets and sending them on email
- Prepopulate patient details in PSS assessments by creating secure prefill links without exposing PHI
- 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
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July 23, 2023
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February 16, 2024
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October 31, 2023
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November 27, 2023
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