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 each symptom during the PAST WEEK, INCLUDING TODAY
by clicking the appropriate response.

During the past week...Not at allMildlyModeratelySeverely
Numbness or tingling.
Feeling hot.
Wobbliness in legs.
Unable to relax.
Fear the worst happening.
Dizzy or lightheaded.
Heart pounding or racing.
Unsteady.
Terrified.
Nervous.
Feelings of choking.
Hands trembling.
Shaky.
Fear of losing control.
Difficulty breathing.
Fear of dying.
Scared.
Indigestion or discomfort in abdomen.
Faint.
Face flushed.
Sweating (not due to heat).