Screening Tools

PerformCare offers our members the following screening tools to help you manage your health.

Screening tools are short assessments you take on your own. They can help you decide if you may have a mental health issue. Screening tools are quick and easy to take. Most of the questions offer "yes" or "no" answers.

If you think you may have a mental health issue, try one of the screening tools below. Share the results with your doctor or counselor. If you have any questions or need help finding a doctor or counselor, please contact Member Services.

Depression screening tools

Adult patient health questionnaire (PDF)

Directions to complete the Adult Patient Health questionnaire:
  1. Circle the number closest to how you felt in the past two weeks.
    • Score 0 if you never felt this way.
    • Score 1 if you felt this way for several days.
    • Score 2 if you felt this way more than half the days.
    • Score 3 if you felt this way nearly every day.
    • Note: The 10th question is not part of the score. It's meant to give you an understanding of how much your depression interferes with your everyday functioning and if you are at risk for self-harm.
  2. Add up each column. Place the score in the box at the bottom of each column.
  3. Add the column scores to get a total score.
  4. Your score will be between 0 and 27.

What your score means

  • 10 or higher: You may want to talk to a therapist or doctor about your feelings.
  • 9 or lower: You may want to talk to your family doctor about your feelings. A low score can mean mild depression. If you have any questions, call PerformCare for help.

If you have any thoughts of self-harm or harm to others, seek immediate attention. Go to the nearest emergency room.

Adolescent patient health questionnaire (PDF)

Directions to complete the Adolescent Patient Health questionnaire:
  1. Circle the number closest to how you felt in the past two weeks.
    • Score 0 if you never felt this way.
    • Score 1 if you felt this way for several days.
    • Score 2 if you felt this way more than half the days.
    • Score 3 if you felt this way nearly every day.
    • Note: The 10th question is not part of the score. It's meant to give you an understanding of how much your depression interferes with your everyday functioning and if you are at risk for self-harm.
  2. Add up each column. Place the score in the box at the bottom of each column.
  3. Add the column scores to get a total score.
  4. Your score will be between 0 and 27.

What your score means

  • 10 or higher: You may want to talk to a therapist or doctor about your feelings.
  • 9 or lower: You may want to talk to your family doctor about your feelings. A low score can mean mild depression. If you have any questions, call PerformCare for help.

If you have any thoughts of self-harm or harm to others, seek immediate attention. Go to the nearest emergency room.

Substance use screening tools

Alcohol use disorders identification test (AUDIT) (PDF)

Directions to complete the Alcohol Use Disorders Identification test:
  1. Circle the answer that is most true for you.
  2. Add the points in front of the answer you chose.

Remember: A single drink is equal to:

  • 12 ounces of beer
  • 8-9 ounces of a malt drink
  • 5 ounces of wine
  • 1.5 ounces of hard liquor

What your score means

8 or higher: Indicates harmful drinking. Please consider seeking help if your score is more than 8.

If you have any questions or need help in finding a doctor or counselor, please contact Member Services.

Substance abuse questionnaire (PDF)

Directions to complete the CAGE-AID questionnaire:
  1. Answer "yes" or "no" to 4 questions.

What your score means

If you answered "yes" to any question, consider seeking help.

If you have any questions or need help in finding a doctor or counselor, please contact Member Services.

Anxiety screening tools

General anxiety disorder (GAD) (PDF)

Directions to complete the Generalized Anxiety Disorder questionnaire:
  1. Circle the number closest to how you felt in the past two weeks.
    • Score 0 if you never felt this way.
    • Score 1 if you felt this way for several days.
    • Score 2 if you felt this way more than half the days.
    • Score 3 if you felt this way nearly every day.
  2. After entering all of the scores, the last question does not get scored. It is meant to give you an understanding of how much your anxiety affects how you function each day.
  3. Add up each column. Place the score on the line beneath each column.
  4. Add the column scores to get a total score.
  5. Your score will be between 0 and 21.

What your score means

  • 10 or higher: You may want to talk to a therapist or doctor about how you feel.
  • 9 or lower: You may want to talk to your family doctor about how you feel. A low score can mean mild anxiety.
    If you have any concerns, call PerformCare.

If you have any thoughts of self-harm or harm to others, seek immediate attention. Go to the nearest emergency room.