Are you anxious?

Are you anxious?

Please follow the below rating scale to answer the question.

0= Not At All

1= Mildly but it didn’t bother me much

2= Moderately -it wasn’t pleasant at times

3= Severely – It bothered me a lot

Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the past month, including today, by selecting the number in the corresponding space in the column next to each symptom

1. Numbness or tingling

 
 
 
 

2. Feeling hot

 
 
 
 

3. Wobbliness in legs

 
 
 
 

4. Unable to relax

 
 
 
 

5. Fear of worst happening

 
 
 
 

6. Dizzy or lightheaded

 
 
 
 

7. Heart pounding/racing

 
 
 
 

8. Unsteady

 
 
 
 

9. Terrified or afraid

 
 
 
 

10. Nervous

 
 
 
 

11. Feeling of choking

 
 
 
 

12. Hands trembling

 
 
 
 

13. Shaky / unsteady

 
 
 
 

14. Fear of losing control

 
 
 
 

15. Difficulty in breathing

 
 
 
 

16. Fear of dying

 
 
 
 

17. Scared

 
 
 
 

18. Indigestion

 
 
 
 

19. Faint / lightheaded

 
 
 
 

20. Face flushed

 
 
 
 

21. Hot/cold sweats

 
 
 
 

**This self-report test is adapted from the beck anxiety test.

Disclaimer: This is a self-report test, not a diagnosis. Consult a professional for a more thorough diagnosis.