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Question 1 of 14 Anxious Mood

Worries, anticipation of the worst, fearful anticipation, irritability.


Question 2 of 14 Tension

Feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.


Question 3 of 14 Fears

Of dark, of strangers, of being left alone, of animals, of traffic, of crowds.


Question 4 of 14 Insomnia

Difficulty in falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.


Question 5 of 14 Cognitive Difficulties

Difficulty in concentration, poor memory.


Question 6 of 14 Depressed Mood

Loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing.


Question 7 of 14 Somatic Symptoms

Pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.


Question 8 of 14 Somatic Symptoms

Tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.


Question 9 of 14 Somatic Symptoms

Tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.


Question 10 of 14 Somatic Symptoms

Pressure or constriction in chest, choking feelings, sighing, dyspnea.


Question 11 of 14 Somatic Symptoms

Difficulty in swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation.


Question 12 of 14 Somatic Symptoms

Frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of rigidity, premature ejaculation, loss of libido, impotence.


Question 13 of 14 Autonomic Symptoms

Dry mouth, flushing, pallor, tendency to sweat, giddiness, tension headache, raising of hair.


Question 14 of 14 Behavioral Anxiety Signs

Fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.