Penn State Worry Questionnaire
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Use our readymade template to create your Penn State Worry Questionnaire (PSWQ) for assessing worry in your patients

Create your care assessments

PSWQ score Anxiety Assessment Proposed treatment
16-39 Low Worry May not need treatment
40-59 Moderate Worry Consider counseling
60-80 High Worry Active treatment
  • navigate_next Prebuilt template with PSWQ scoring to assess the presence of worry and measure its severity
  • navigate_next 16-item questionnaire that scores each item from 'Not at all typical of me' to 'Very typical of me'
  • navigate_next Real-time calculation of PSWQ Score and anxiety assessment based on the form responses
  • navigate_next Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
  • navigate_next Compare the scores from the initial screening with that of the followup to track the progression of worry
  • navigate_next 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
Doctor's Name Dr. Smith
Location New York
Select the answer that best describes how typical each item is of you
If I do not have enough time to do everything, I do not worry about it. Often typical of me
My worries overwhelm me. Often typical of me
I do not tend to worry about things. Not at all typical of me
Many situations make me worry. Often typical of me
I know I should not worry about things, but I just cannot help it. Very typical of me
When I am under pressure I worry a lot. Very typical of me
I am always worrying about something. Often typical of me
I find it easy to dismiss worrisome thoughts. Not at all typical of me
As soon as I finish one task, I start to worry about everything else I have to do. Very typical of me
I never worry about anything. Not at all typical of me
When there is nothing more I can do about a concern, I do not worry about it any more. Not at all typical of me
I have been a worrier all my life. Very typical of me
I notice that I have been worrying about things. Often typical of me
Once I start worrying, I cannot stop Very typical of me
I worry all the time. Often typical of me
I worry about projects until they are all done. Very typical of me
PSWQ Score 65
Anxiety Assessment High Worry
  • navigate_next Pre-populate patient details such as patient id, name, email etc in the PSWQ assessment form before sharing it with the patients
  • navigate_next Send an email invitation with a secure link for patients to complete their PSWQ assessment form prior to their visit
  • navigate_next Allow patients to save their progress and complete their PSWQ assessment form at a later time without losing any responses
  • navigate_next Set up an email template for your PSWQ assessment and automatically send invitation emails to multiple patients with ease
  • navigate_next Send a confirmation email to the patients with their PSWQ score, diagnosis, next steps when they submit their PSWQ assessment

Track patient responses in Google Sheets

Assessment form builder
  • navigate_next Export patient responses including the calculated PSWQ score and anxiety assessment to Google Sheets for easy record-keeping
  • navigate_next Export individual points for 16 items to Google Sheets for data manipulation and analysis for comprehensive insights
  • navigate_next Use pre-built reports to easily keep track of patient progress over time and monitor changes in their worry symptoms
  • navigate_next Receive a copy of the response and the calculated PSWQ score by email whenever a patient submits their PSWQ assessment
  • navigate_next 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: ******
Doctor's Name: Dr. Smith
Location: New York
Select the answer that best describes how typical each item is of you
If I do not have enough time to do everything, I do not worry about it.:Often typical of me
My worries overwhelm me.:Often typical of me
I do not tend to worry about things.:Not at all typical of me
Many situations make me worry.:Often typical of me
I know I should not worry about things, but I just cannot help it.:Very typical of me
When I am under pressure I worry a lot.:Very typical of me
I am always worrying about something.:Often typical of me
I find it easy to dismiss worrisome thoughts.:Not at all typical of me
As soon as I finish one task, I start to worry about everything else I have to do.:Very typical of me
I never worry about anything.:Not at all typical of me
When there is nothing more I can do about a concern, I do not worry about it any more.:Not at all typical of me
I have been a worrier all my life.:Very typical of me
I notice that I have been worrying about things.:Often typical of me
Once I start worrying, I cannot stop:Very typical of me
I worry all the time.:Often typical of me
I worry about projects until they are all done.:Very typical of me
PSWQ Score: 65
Anxiety Assessment: High Worry
PSWQ Score: 65
Anxiety Assessment: High Worry
  • navigate_next Create a HIPAA compliant PSWQ assessment form to safely collect, store and access patient responses
  • navigate_next Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
  • navigate_next Automatically mask PHI fields when exporting PSWQ form responses to Google Sheets and sending them on email
  • navigate_next Prepopulate patient details in PSWQ assessments by creating secure prefill links without exposing PHI
  • navigate_next 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

5 stars

I am 100% a fan of this company. We use HIPAA compliant Google Forms and needed a way to collect signatures, the industry standard company is TOO expensive. I started using FormEsign and it worked perfectly. It lacked the ability to provide a pdf copy of the form after signature. This company worked with me help their product evolve into something that could benefit all future clients AND the end user. The team was polite, professional, kind, enthusiastic, and willing to make a change. This earned my loyalty. I will sing their praises. Good work, and thank you!

— Royal Bush

July 23, 2023

5 stars

I am not tech savvy. I chose formesign to help create registration links for clients. Vipid has been great in assisting me. He goes above and beyond. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!

— Sol Evans

October 31, 2023

5 stars

We needed a way to create forms with e-signatures and this app made it very easy. Support is also very quick and always helpful. Cannot recommend enough!

— Chris Henesy

February 16, 2024

1 stars

Does not work

— Myles Sicuro

July 12, 2023

5 stars

It very friendly to used. I love it. For my case multiple signature needed. it's supporting

— Senthil Kumar

November 27, 2023

5 stars

Yeah this is good for all

— luqman Khan

July 10, 2023

5 stars

We were looking for a way to have a signature option in our form. Formesign addon allowed us to collect signatures for the acknowledgment and consent forms. It was simple and easy to setup. Very useful addon for google forms.

— Joan S

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