Listed below are 20 statements. Please read each one carefully and decide how much the statement describes how you have been feeling during the past week. Choose the appropriate option for each statement.
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 not going right and something 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.
10. I can feel my heart beating fast.
11. I am bothered by dizzy spells.
12. I have fainting spells or feel faint.
13. I can breathe in and out easily.
14. I get feelings of 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 am not able fall asleep easily and don't get a good night's rest.
