Anxiety Quiz

Please read each statement and circle a number 0, 1, 2, or 3 which indicates how much the statement has applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.

Rating Scale

0 - Did not apply to me at all.
1 - Applied to me a little, or some of the time.
2 - Applied to me a considerable degree, or a good part of the time.
3 - Applied to me very much, or most of the time.

I was aware of dryness of my mouth

I felt “edgy” or easily startled

I experienced breathing difficulty (e.g. excessively rapid breathing, shortness of breath in the absence of physical exertion)

I felt very apprehensive

I had a feeling of shakiness (e.g. legs going to give way)

I felt easily tired

I found myself in situations that made me so anxious I was most relieved when they ended

I had a feeling of faintness or dizziness

I found it hard to stop worrying

I perspired noticeably (e.g. hands sweaty) in the absence of high temperatures or physical exertion

I had trouble sleeping (e.g. difficulty falling asleep or staying asleep, or restless sleep)

I felt uneasy or scared without any good reason

I had difficulty in swallowing, or a sense of choking

I had difficulty concentrating

I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat)

I felt I was close to panic

I feared that I would be thrown by some trivial but unfamiliar task

I experienced headaches or muscle pain

I felt fearful

I was worried about situations in which I might panic and make a fool of myself

I experienced trembling (e.g. in the hands)

I felt tense

I found that my anxiety made it difficult for me to do everyday activities (e.g. work, study, seeing friends)

I felt nervous

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