1.
Physical Symptoms
How often do you experience a racing heart or palpitations?
2.
Physical Symptoms
How frequently do you feel short of breath or have difficulty breathing?
3.
Physical Symptoms
How often do you experience sweating or clammy hands?
4.
Physical Symptoms
How frequently do you feel dizzy or lightheaded?
5.
Physical Symptoms
How often do you experience muscle tension or aches?
6.
Physical Symptoms
How frequently do you have headaches or migraines?
7.
Physical Symptoms
How often do you experience stomachaches or digestive issues?
8.
Physical Symptoms
How frequently do you feel fatigued or lack energy?
1 out of 6
9.
Emotional Symptoms
How often do you feel overwhelmed by daily tasks?
10.
Emotional Symptoms
How frequently do you experience feelings of dread or impending doom?
11.
Emotional Symptoms
How often do you feel irritable or easily agitated?
12.
Emotional Symptoms
How frequently do you feel sad or depressed?
13.
Emotional Symptoms
How often do you feel restless or unable to relax?
14.
Emotional Symptoms
How frequently do you experience mood swings?
15.
Emotional Symptoms
How often do you feel anxious without any specific reason?
16.
Emotional Symptoms
How frequently do you feel a sense of impending danger or panic?
2 out of 6
17.
Cognitive Symptoms
How often do you have intrusive, unwanted thoughts?
18.
Cognitive Symptoms
How frequently do you struggle to concentrate on tasks?
19.
Cognitive Symptoms
How often do you worry excessively about various aspects of your life?
20.
Cognitive Symptoms
How frequently do you have difficulty making decisions?
21.
Cognitive Symptoms
How often do you feel mentally exhausted or drained?
22.
Cognitive Symptoms
How frequently do you experience memory problems or forgetfulness?
23.
Cognitive Symptoms
How often do you feel like your mind is racing with thoughts?
24.
Cognitive Symptoms
How frequently do you overthink or ruminate on past events?
3 out of 6
25.
Behavioral Symptoms
How often do you avoid social situations due to anxiety?
26.
Behavioral Symptoms
How frequently do you engage in perfectionistic behaviours?
27.
Behavioral Symptoms
How often do you procrastinate or avoid tasks due to anxiety?
28.
Behavioral Symptoms
How frequently do you seek reassurance from others about your worries?
29.
Behavioral Symptoms
How often do you engage in repetitive behaviours or rituals to reduce anxiety?
30.
Behavioral Symptoms
How frequently do you use substances (e.g., alcohol, drugs) to cope with anxiety?
31.
Behavioral Symptoms
How often do you avoid making phone calls or answering the phone due to anxiety?
32.
Behavioral Symptoms
How frequently do you avoid eye contact or feel uncomfortable in social interactions?
4 out of 6
33.
Relationship Symptoms
How often do you feel anxious about your relationships with family members?
34.
Relationship Symptoms
How frequently do you worry about being judged or criticized by your partner?
35.
Relationship Symptoms
How often do you avoid social gatherings due to anxiety?
36.
Relationship Symptoms
How frequently do you feel insecure or jealous in your relationships?
37.
Relationship Symptoms
How often do you have conflicts or arguments with loved ones due to anxiety?
38.
Relationship Symptoms
How frequently do you feel disconnected or distant from others?
39.
Relationship Symptoms
How often do you worry about being abandoned or rejected by those close to you?
40.
Relationship Symptoms
How frequently do you feel anxious about maintaining friendships?
5 out of 6
41.
Professional Symptoms
How often do you feel anxious about meeting deadlines at work?
42.
Professional Symptoms
How frequently do you worry about making mistakes in your job?
43.
Professional Symptoms
How often do you feel overwhelmed by your workload?
44.
Professional Symptoms
How frequently do you avoid taking on new tasks or responsibilities due to anxiety?
45.
Professional Symptoms
How often do you feel anxious about interacting with colleagues or supervisors?
46.
Professional Symptoms
How frequently do you experience performance anxiety or fear of failure at work?
47.
Professional Symptoms
How often do you feel stressed about balancing work and personal life?
48.
Professional Symptoms
How frequently do you feel anxious about job security or career advancement?
6 out of 6