Anxiety Questionnaire Section One: Symptom Frequency Score0 Never 1 Rarely 2 Sometimes 3 Often 4 UsuallyDo you feel afraid or scared?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you experience chest pain or discomfort?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you experience nausea or abdominal discomfort?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you sweat copiously?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you feel dizzy/light headed or unsteady?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you experience fear of losing control or going crazy?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you experience numbness or tingling sensations?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you have a fear of dying?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyAre you having chills or hot flashes?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you have constant or persistent worry?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you have a feeling of choking?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you hands tremble?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you feel you may faint/pass out?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you avoid situations?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyIs it hard to sit still?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you have heart palpitations?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you get enraged or feel irritable?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you have difficulty going to sleep?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you feel nervous?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyAre you unable to relax?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you experience the feeling of being unreal?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you feel shaky or wobbly?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyAre you easily tired?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyDo you have unexplained muscle tension?*0 -- Never1 -- Rarely2 -- Sometimes3 -- Often4 -- UsuallyFINAL SCORETo see your final score and the interpretation of the results, submit this form including your email address, and you will be brought straight to your results screen.FINAL SCOREEmail Address*To receive a breakdown of what your current score means. Enter your email, and click SUBMIT.