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
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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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