Use our readymade template to create your Hamilton Anxiety Scale (HAM-A) screening tool for anxiety
Create your care assessments
| HAM-A score | Anxiety Level | Proposed treatment |
|---|---|---|
| 0 | None | May not need treatment |
| 1-17 | Mild | Watchful waiting |
| 18-24 | Moderate | Consider counseling |
| Severe | Active treatment | |
| Very Severe | Immediate initiation |
- Prebuilt template with HAM-A scoring to assess the presence of anxiety and measure its severity
- 14-item questionnaire that scores each of the 14 symptoms as “0” (not present) to “4” (very severe)
- Real-time calculation of HAM-A Score and anxiety level 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 anxiety
- 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 |
| Anxious mood | Mild |
| Tension | Moderate |
| Fears | Not present |
| Insomnia | Severe |
| Intellectual | Mild |
| Depressed mood | Moderate |
| Somatic (muscular) | Not present |
| Somatic (sensory) | Severe |
| Cardiovascular symptoms | Mild |
| Respiratory symptoms | Moderate |
| Gastrointestinal symptoms | Not present |
| Genitourinary symptoms | Severe |
| Autonomic symptoms | Mild |
| Behavior at interview | Moderate |
| HAM-A Score | 20 |
| Anxiety Level | Moderate |
- Pre-populate patient details such as patient id, name, email etc in the HAM-A assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their HAM-A assessment form prior to their visit
- Allow patients to save their progress and complete their HAM-A assessment form at a later time without losing any responses
- Set up an email template for your HAM-A assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their HAM-A score, diagnosis, next steps when they submit their HAM-A assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | Anxious mood | Mild | 1 | 20 |
| 3 | John W | Tension | Moderate | 2 | 20 |
| 4 | John W | Fears | Not present | 0 | 20 |
| 5 | John W | Insomnia | Severe | 3 | 20 |
| 6 | John W | Intellectual | Mild | 1 | 20 |
| 7 | John W | Depressed mood | Moderate | 2 | 20 |
| 8 | John W | Somatic (muscular) | Not present | 0 | 20 |
| 9 | John W | Somatic (sensory) | Severe | 3 | 20 |
| 10 | John W | Cardiovascular symptoms | Mild | 1 | 20 |
| 11 | John W | Respiratory symptoms | Moderate | 2 | 20 |
| 12 | John W | Gastrointestinal symptoms | Not present | 0 | 20 |
| 13 | John W | Genitourinary symptoms | Severe | 3 | 20 |
| 14 | John W | Autonomic symptoms | Mild | 1 | 20 |
| 15 | John W | Behavior at interview | Moderate | 2 | 20 |
- Export patient responses including the calculated HAM-A score and anxiety level to Google Sheets for easy record-keeping
- Export individual points for 14 symptoms 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 anxiety symptoms
- Receive a copy of the response and the calculated HAM-A score by email whenever a patient submits their HAM-A 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 |
| Anxious mood: | Mild |
| Tension: | Moderate |
| Fears: | Not present |
| Insomnia: | Severe |
| Intellectual: | Mild |
| Depressed mood: | Moderate |
| Somatic (muscular): | Not present |
| Somatic (sensory): | Severe |
| Cardiovascular symptoms: | Mild |
| Respiratory symptoms: | Moderate |
| Gastrointestinal symptoms: | Not present |
| Genitourinary symptoms: | Severe |
| Autonomic symptoms: | Mild |
| Behavior at interview: | Moderate |
| HAM-A Score: | 20 |
| Anxiety Level: | Moderate |
| HAM-A Score: | 20 |
| Anxiety Level: | Moderate |
- Create a HIPAA compliant HAM-A 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 HAM-A form responses to Google Sheets and sending them on email
- Prepopulate patient details in HAM-A 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
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