Choose based on how you have actually felt over the past week
1. I feel more nervous and anxious than usual
2. I feel afraid for no reason at all
3. I get upset easily or feel panicky
4. I feel like I'm falling apart and going to pieces
5. I feel that everything is all right and nothing bad will happen
6. My arms and legs shake and tremble
7. I am bothered by headaches, neck and back pains
8. I feel weak and get tired easily
9. I feel calm and can sit still easily
10. I can feel my heart beating fast
11. I am bothered by dizzy spells
12. I have fainting spells or feel like I might faint
13. I can breathe in and out easily
14. I get numbness and tingling in my fingers and toes
15. I am bothered by stomachaches or indigestion
16. I have to empty my bladder often
17. My hands are usually dry and warm
18. My face gets hot and blushes
19. I fall asleep easily and get a good night's rest
20. I have nightmares
For self-screening reference only — not a diagnosis and not a substitute for a doctor. Answers are scored in your browser and are not uploaded or saved.