| Phase 1 | Origin |
| In the last 4 weeks, have you often (on some or on most days) |
| 1. Felt unable to stop worrying, or thinking too much? | GAD-2 |
| 2. Felt down, depressed or hopeless? | Whooley-1 |
| 3. Felt little interest or pleasure in doing things that you used to enjoy before? | Whooley-2 |
| 4. Had thoughts and plans to harm yourself or commit suicide? | EPDS-10 |
| Phase 2 |
| In the last 2 weeks, have you on some or most days |
| 1. Felt unable to stop worrying, or thinking too much? | GAD-2 |
| 2. Felt down, depressed or hopeless? | Whooley-1 |
| 3. Been concerned/troubled about having little interest or pleasure in doing things? | Whooley-2 |
| 4. Had thoughts and plans to harm yourself or commit suicide? | EPDS-10 |