Gass with Distress Scale

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GASS

Glasgow Antisychotic Side-effect Scale

What is the GASS?

This questionnaire is about how you have been recently.
It is being used to determine if you are suffering from excessive side-effects from your antipsychotic medication.

What does it involve?

There are questions relating to different situations to assess your side-effects.
Once you have scored each question the values are added together to give an indication of the degree of your current side-effects.
There is also an opportunity to express if you ar finding any side-effects distressing.

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All questions marked with a * are mandatory

Personal Details

Please double check you've entered the correct email address

May be used to identify you

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Over the past week

I felt sleepy during the day: *

I find this distressing: *

0

1

2

3

4

5

6

7

8

9

10

not at all

very much

I felt drugged or like a zombie: *

I find this distressing: *

I felt dizzy when I stood up and/or have fainted : *

I find this distressing: *

I have felt my heart beating irregularly or unusually fast : *

I find this distressing: *

My muscles have been tense or jerky: *

I find this distressing: *

My hands or arms have been shaky : *

I find this distressing: *

My legs have felt restless and/or I couldn’t sit still: *

I find this distressing: *

I have been drooling : *

I find this distressing: *

My movements or walking have been slower than usual: *

I find this distressing: *

I have had uncontrollable movements of my face or body: *

I find this distressing: *

My vision has been blurry: *

I find this distressing: *

My mouth has been dry: *

I find this distressing: *

I have had difficulty passing urine: *

I find this distressing: *

I have felt like I am going to be sick or have vomited: *

I find this distressing: *

I have had problems opening my bowels (constipation) : *

I find this distressing: *

I have wet the bed: *

I find this distressing: *

I have been very thirsty and/or passing urine frequently: *

I find this distressing: *

The areas around my nipples have been sore and swollen: *

I find this distressing: *

I have noticed fluid coming from my nipples: *

I find this distressing: *

I have had problems enjoying sex: *

I find this distressing: *

I have had problems getting an erection: *

I find this distressing: *

Over the last three months

I have noticed a change in my periods : *

I find this distressing: *

I have been gaining weight: *

I find this distressing: *

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Results

Absent/mild side effects

, you have a score of

Moderate side effects

, you have a score of

Severe side effects

, you have a score of

If you wish to submit the results please continue to the next page

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This form collects personal and medical information about you and we use this information to allow the practice team to contact you.
Please read our Privacy Policy to discover how we protect and manage your submitted data.

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