Hamilton Anxiety Rating Scale (HAM-A) (pdf) 2026

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  1. Click ‘Get Form’ to open the Hamilton Anxiety Rating Scale (HAM-A) in the editor.
  2. Begin by reviewing the introductory section, which outlines the purpose of the HAM-A and its scoring system. Familiarize yourself with the severity ranges: <17 indicates mild anxiety, 18–24 mild to moderate, and 25–30 moderate to severe.
  3. Proceed to each of the 14 items listed. For each symptom described, select a response that best reflects the patient's experience on a scale from 0 (not present) to 4 (very severe).
  4. Ensure you complete all sections, including mood, tension, fears, insomnia, and somatic symptoms. Take your time to accurately assess each item based on observed behaviors and reported feelings.
  5. Once all items are rated, review your selections for accuracy before saving or exporting the completed form for further analysis or sharing.

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GAS Scoring Instructions. Total Score = sum of items 1 through 25. Somatic subscale (9 items) = sum of items 1, 2, 3, 8, 9, 17, 21, 22, 23. Cognitive subscale (8 items) = sum of items 4, 5, 12, 16, 18, 19, 24, 25. Affective subscale (8 items) = sum of items 6, 7, 10, 11, 13, 14, 15, 20. GAS Subscales and Their Items.
Citation. Hamilton, M. (1959). Hamilton Anxiety Rating Scale (HAM-A) [Database record].
Scoring Methods of the Hamilton Anxiety Scale 0: Symptom not present. 1: Mild (symptom is present but not severe) 2: Moderate (symptom is bothersome but manageable) 3: Severe (symptom is bothersome and disruptive) 4: Very severe (symptom is extremely debilitating)
Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 056, where
Scoring is based on the 17-item scale and scores of 07 are considered as being normal, 816 suggest mild depression, 1723 moderate depression and scores over 24 are indicative of severe depression [3]; the maximum score being 52 on the 17-point scale.

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How is the HAM-A administered? The HAM-A is administered through a structured clinical interview. A trained clinician asks the client a series of questions to determine the severity of their anxiety symptoms.
The Hamilton Anxiety Rating Scale (HAM-A, sometimes termed HARS) [1], dating back to 1959, is one of the first rating scales to measure the severity of perceived anxiety symptoms.

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