COVID-19: 2020 SOAL SELIDIK DASS   (DASS QUESTIONNAIRE)
Description
The DASS-21 is a self-report scale designed to screen the current state of mental health
Penerangan
DASS-21 adalah satu skala laporan diri yang direka untuk saringan  keadaan kesihatan mental semasa
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Email *
YOUR INFORMATION IS KEPT CONFIDENTIAL
Prepared by Psychological & Counselling Services, Universiti Teknologi PETRONAS

Profile
Full Name (Nama Penuh)
Your information is for us to contact if necessary
Category *
Where do you live during Movement Control Order (MCO)
Intake Year (Tahun Kemasukan) :  Study or Work *
Intake Month (Tahun Kemasukan): Study or Work *
ID No *
Contact No. (WhatsApp) *
 Your information is for us to contact if necessary
Gender (Jantina) *
Race (Bangsa) *
Level of Study *
Program *
Financial Assistance (Bantuan Kewangan ) *
Instructions (Arahan)
Please read each statement and select a number 0, 1, 2 or 3 which indicates how much the statement applied to you OVER THE PAST WEEK.  There are no right or wrong answers.

DO NOT spend too much time on any statement.


Sila baca setiap kenyataan dan pilih angka  0,1,2 atau 3 yang mengambarkan keadaan anda SEMINGGU YANG LEPAS. Tidak ada jawapan betul dan salah.

JANGAN guna terlalu banyak masa untuk mana-mana kenyataan.
The rating scale is as below (Skala adalah seperti di bawah)
0 =  Did not apply to me at all (Tidak pernah sama sekali)
1 =  Applied to me to some degree, or some of the time  (Jarang)
2 =  Applied to me to a considerable degree, or a good part of time (Kerap)
3 =  Applied to me very much, or most of the time (Sangat Kerap)

Statement Items (Item Pernyataan)
1. I found it hard to wind down *
Saya rasa susah untuk bertenang                          
2. I was aware of dryness of my mouth *
Saya sedar mulut saya rasa kering
3. I couldn't seem to experience any positive feeling at all *
Saya seolah-olah tidak dapat mengalami perasaan positif sama sekali
4. I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion) *
Saya mengalami kesukaran bernafas (contohnya, bernafas terlalu cepat, tercungap-cungap walaupun tidak melakukan aktiviti fizikal)
5. I found it difficult to work up the initiative to do things   *
Saya rasa tidak besemangat untuk memulakan sesuatu keadaan
6. I tended to over-react to situations   *
Saya cenderung bertindak secara berlebihan kepada sesuatu keadaan
7. I experienced trembling (eg: in the hands) *
Saya pernah menggeletar (contohnya tangan)
8. I felt that I was using a lot of nervous energy   *
Saya rasa saya terlalu gelisah
9. I was worried about situations in which I might panic and make a fool of myself   *
Saya risau akan berlaku keadaaan di mana saya panik dan berkelakuan bodoh
10. I felt that I had nothing to look forward to   *
Saya rasa tidak ada apa yang saya harapkan (putus harapan)
11.  I found myself getting agitated   *
Saya dapati saya mudah resah
12. I found it difficult to relax   *
Saya merasa sukar untuk relaks
13. I felt down-hearted and blue   *
Saya rasa muram dan sedih
14. I was intolerant of anything that kept me from getting on with what I was doing   *
Saya tidak boleh terima apa jua yang menghalangi saya daripada meneruskan apa yang saya sedang lakukan
15. I felt I was close to panic   *
Saya rasa hampir panic
16.  I was unable to become enthusiastic about anything   *
Saya tidak bersemangat langsung
17. I felt I wasn't worth much as a person   *
Saya rasa diri saya tidak berharga
18. I felt that I was rather touchy   *
Saya mudah tersinggung
19. I was aware of the action of my heart in the absence of physical exertion (eg, sense of heart rate increase, heart missing a beat)   *
Walaupun saya tidak melakukan aktiviti fizikal, saya sedar akan debaran jantung saya (contoh degupan jantung lebih cepat)
20. I felt scared without any good reason   *
Saya rasa takut tanpa sebab
21. I felt that life was meaningless   *
Saya rasa hidup ini tidak bererti lagi
GENERAL QUESTIONS  (SOALAN UMUM)
A.  What is the main issue in your life which makes you troubled   *
Apakah isu utama dalam hidup anda yang membuat anda bermasalah
B. Your main issue is....   *
Isu utama anda ialah...
C. Others refer to.....  (Lain-lain merujuk kepada.... ) *
If the above answer  is OTHERS please indicate the main issue if not just put NA (Jika jawaban di atas ialah OTHERS sila nyatakan isu utama )
D. Other matters (Hal-hal lain) *
Sila nyatakan apa-apa perkara di dalam fikiran anda yang ingin sampaikan. (Please indicate any matters in your mind that you wish to convey)
E. Do you need to meet Counsellor/Psychologist urgently?
https://outlook.office365.com/owa/calendar/CounsellingSession@utp.edu.my/bookings/

Office365 (https://outlook.office365.com/owa/calendar/CounsellingSession@utp.edu.my/bookings/)
Psychological & Counselling Services - You can book online!
You can now book and manage appointments using our booking page.
Thank you for your cooperation. (Terima kasih atas kerjasama anda)
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