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Question 1 of 20 Emotional Anxiety

I feel more nervous and anxious than usual.


Question 2 of 20 Emotional Anxiety

I feel afraid for no reason at all.


Question 3 of 20 Emotional Anxiety

I get upset easily or feel panicky.


Question 4 of 20 Emotional Anxiety

I feel like I’m falling apart and going to pieces.


Question 5 of 20 Emotional Anxiety

I feel that everything is all right and nothing bad will happen.


Question 6 of 20 Physical Anxiety

My arms and legs shake and tremble.


Question 7 of 20 Physical Anxiety

I am bothered by headaches neck and back pain.


Question 8 of 20 Physical Anxiety

I feel weak and get tired easily.


Question 9 of 20 Emotional Anxiety

I feel calm and can sit still easily.


Question 10 of 20 Autonomic Symptoms

I can feel my heart beating fast.


Question 11 of 20 Autonomic Symptoms

I am bothered by dizzy spells.


Question 12 of 20 Autonomic Symptoms

I have fainting spells or feel like it.


Question 13 of 20 Physical Anxiety

I can breathe in and out easily.


Question 14 of 20 Autonomic Symptoms

I get numbness and tingling in my fingers and toes.


Question 15 of 20 Physical Anxiety

I am bothered by stomach aches or indigestion.


Question 16 of 20 Autonomic Symptoms

I have to empty my bladder often.


Question 17 of 20 Autonomic Symptoms

My hands are usually dry and warm.


Question 18 of 20 Autonomic Symptoms

My face gets hot and blushes.


Question 19 of 20 Sleep and Cognitive Symptoms

I fall asleep easily and get a good night’s rest.


Question 20 of 20 Sleep and Cognitive Symptoms

I have nightmares.