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 |
- Prebuilt template with PSWQ scoring to assess the presence of worry and measure its severity
- 16-item questionnaire that scores each item from 'Not at all typical of me' to 'Very typical of me'
- Real-time calculation of PSWQ Score and anxiety assessment based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of worry
- 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 |
- Pre-populate patient details such as patient id, name, email etc in the PSWQ assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their PSWQ assessment form prior to their visit
- Allow patients to save their progress and complete their PSWQ assessment form at a later time without losing any responses
- Set up an email template for your PSWQ assessment and automatically send invitation emails to multiple patients with ease
- 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
- Export patient responses including the calculated PSWQ score and anxiety assessment to Google Sheets for easy record-keeping
- Export individual points for 16 items to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their worry symptoms
- Receive a copy of the response and the calculated PSWQ score by email whenever a patient submits their PSWQ assessment
- 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 |
- Create a HIPAA compliant PSWQ assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting PSWQ form responses to Google Sheets and sending them on email
- Prepopulate patient details in PSWQ assessments by creating secure prefill links without exposing PHI
- 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.
May 30, 2025
Besides the fact that one gets billed $216 monthly, Support took a long time to try and get things to work. Trying to get things signed on a form was such an issue and through out formatting. Way over priced, support that you have to wait till the next day to get one thing sorted and not sorted, back and forth the whole time. Frustrating customers and damage to business. I will not reccommend this company to anyone. Try JotForms so much better, and you can do much more for a fraction of the cost per year not per month.
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June 3, 2025
Hi Francois, sorry you had a frustrating experience with the formatting. Just to clarify, the plan you’re on is $216 per year, not per month. You signed up for the Formesign Esignature paid plan on May 8, 2024, and since you also needed to sign agreements, we provided access to our Formesign - Fillable PDF add-on at no extra cost. Regarding formatting: when working with Google Docs templates, we recommend using lists instead of indents and setting up layouts with tables for images, rather than inserting images directly. This helps maintain proper formatting. To assist, we also created and shared a sample template as a reference. You had asked us to make edits on your behalf, which we’re not able to do for security reasons. However, we did reach out and invited you to join a scheduled Zoom call to walk through the process — as we’ve done several times over the past year — but we didn’t receive a response. Update: To make things easier for all users, we have just launched the new document editor in Formesign that will allow agreements to be created directly, without relying on Google Docs.
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