Facebook
Twitter
Linkedin
Psychology Today
HealthGrades
Search
Search
Close this search box.
About
Specialities
5 Core Counseling
Body
Mind
Spirit
Emotions
Others
Areas of Focus
Individual Therapy
Relationship Therapy
Family Therapy
Blog
Schedule an Appointment
Menu
About
Specialities
5 Core Counseling
Body
Mind
Spirit
Emotions
Others
Areas of Focus
Individual Therapy
Relationship Therapy
Family Therapy
Blog
Schedule an Appointment
Anxiety Inventory
Anxiety Assessment
Step
1
of
2
50%
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 circling the number in the corresponding space in the column next to each symptom.
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
Numbness or tingling
*
0
1
2
3
Feeling hot
*
0
1
2
3
Wobbliness in legs
*
0
1
2
3
Unable to relax
*
0
1
2
3
Fear of the worst happening
*
0
1
2
3
Dizziness or lightheadedness
*
0
1
2
3
Heart pounding/racing
*
0
1
2
3
Unsteadiness on feet
*
0
1
2
3
Terrified or afraid
*
0
1
2
3
Nervousness
*
0
1
2
3
Feeling of choking
*
0
1
2
3
Hands trembling
*
0
1
2
3
Shakiness / unsteadiness
*
0
1
2
3
Fear of losing control
*
0
1
2
3
Difficulty in breathing
*
0
1
2
3
Fear of dying
*
0
1
2
3
Scared
*
0
1
2
3
Indigestion
*
0
1
2
3
Feeling of fainting / lightheadedness
*
0
1
2
3
Face flushed
*
0
1
2
3
Hot/cold sweats
*
0
1
2
3
Name
First
Last
Email
Get your result in your inbox so you can reference it again.
Phone
This field is for validation purposes and should be left unchanged.