Anxiety Screening Test
1. Pounding heart
Not at all
Just a little
Sometimes
Often
Usually
2. Sweating
Not at all
Just a little
Sometimes
Often
Usually
3. I avoid situations because of anxiety
Not at all
Just a little
Sometimes
Often
Usually
4. Feeling lightheaded or faint
Not at all
Just a little
Sometimes
Often
Usually
5. Irritable or difficulty sleeping
Not at all
Just a little
Sometimes
Often
Usually
6. Trembling or shaking
Not at all
Just a little
Sometimes
Often
Usually
7. Shortness of breath
Not at all
Just a little
Sometimes
Often
Usually
8.Afraid or scared
Not at all
Just a little
Sometimes
Often
Usually
9. Chest pain or discomfort
Not at all
Just a little
Sometimes
Often
Usually
10. Nausea or abdominal distress
Not at all
Just a little
Sometimes
Often
Usually
11. Feeling dizzy or unsteady
Not at all
Just a little
Sometimes
Often
Usually
12. Fear of losing control or going crazy
Not at all
Just a little
Sometimes
Often
Usually
13. Numbness or tingling sensations
Not at all
Just a little
Sometimes
Often
Usually
14. Chills or hot flashes
Not at all
Just a little
Sometimes
Often
Usually
15. Fear of dying
Not at all
Just a little
Sometimes
Often
Usually
Calculation
Submit
Should be Empty: