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Before you begin

Use this official public-domain EASI form only within qualified health-professional or research practice. It describes five stigma-related belief scales; it does not diagnose a condition.

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Respond to the statement based on your current beliefs. Choose the response that fits best.

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Mental-health stigma can affect whether someone recognizes a concern, talks about it, or seeks care. Some stigma is endorsed, meaning a person agrees with a negative belief. Other stigma is anticipated, meaning a person expects family, friends, or coworkers to react negatively if a mental-health problem becomes known.

The Endorsed and Anticipated Stigma Inventory (EASI) was developed for military personnel and Veterans. Its 40 statements form five separate eight-item scales, allowing a qualified professional or researcher to examine where stigma-related beliefs or concerns are most strongly endorsed without collapsing them into one overall label.

Stigma type Stand-alone scales What the scores describe
Endorsed stigma Beliefs about mental illness, treatment, and treatment seeking Agreement with beliefs that may discourage understanding or care seeking
Anticipated stigma Concerns about loved ones and the workplace Expected negative reactions if a mental-health problem becomes known

A high sum on one scale does not prove how a person will behave, how other people will respond, or whether treatment is needed. The official scoring instructions provide no combined total, cutoff, norm, severity band, or diagnosis. Differences among the five scales are descriptive starting points for a professional conversation or research analysis.

The EASI is intended for qualified health professionals and researchers. It should not be used by itself for diagnosis, treatment selection, employment action, eligibility decisions, or judgments about a person’s fitness or character.

How to Use This Tool:

Keep the official administration context in mind and answer every statement from your current beliefs rather than trying to produce a preferred profile.

  1. Begin the 40-item assessment only within qualified professional or research practice.
  2. Choose one response from Strongly disagree to Strongly agree for each statement. Use Previous or the item navigator if an answer needs review.
  3. Finish after all 40 responses are complete. Read the five scale sums separately and open Understand your profile or Review your answers when more detail is needed.
  4. Use Edit answers to correct a response, then select Done reviewing. Changing the answer-review order or showing score contributions changes presentation only, not scoring.

Interpreting Results:

Each result runs from 8 to 40 points. A higher sum means stronger endorsement of the beliefs or concerns named by that scale. Compare the scales as separate parts of the same response profile; do not add them together.

  • Use the highest and lowest sums to identify topics worth discussing, not to assign a severity label.
  • Review individual answers before drawing conclusions. The same scale sum can come from different response patterns.
  • Do not treat small differences between scales as clinically meaningful because the VA source supplies no norms or change threshold.

Technical Details:

EASI scoring preserves five independent constructs. Every item uses the same integer response code from 1 to 5, and there are no reverse-scored items or weights. A score is produced only when all eight items in that scale have responses.

Formula Core:

For each scale, the score is the sum of its eight recorded response codes.

Sd = ∑i=18 rd,i

Here, Sd is one stand-alone scale sum and rd,i is an item response from 1 to 5. The minimum is 8 and the maximum is 40. For example, eight responses of 3 produce a scale sum of 24.

Scale construction:

Scale Items Range Higher scores mean
Beliefs about mental illness1–88–40Greater endorsement of those beliefs
Beliefs about mental-health treatment9–168–40Greater endorsement of those beliefs
Beliefs about treatment seeking17–248–40Greater endorsement of those beliefs
Concerns about stigma from loved ones25–328–40Greater anticipated-stigma concern
Concerns about stigma in the workplace33–408–40Greater anticipated-stigma concern

Rule Core:

The five sums remain separate. No combined EASI total is calculated, no scale is reverse-keyed, and no score is mapped to a low, moderate, or high band. The profile chart places each sum on the shared 8–40 range for visual comparison only.

Privacy and Limits:

Responses are sensitive personal information. The active assessment stays in browser memory. If a share link is explicitly created, it contains all 40 raw responses in an encoded URL fragment; that encoding is not encryption or access control, so share the link only with an intended recipient.

  • The five sums are descriptive and are not diagnostic or norm referenced.
  • The instrument was developed for military and Veteran populations and qualified use; results may not generalize to a different population or purpose.
  • Restarting clears the in-memory session and removes the shared result fragment from the page.

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