ADDITIONAL INFORMATION

Anxiety Check Quiz

Please fill out the following questionnaire to see whether you might possibly be suffering from an anxiety disorder. Please note that this questionnaire does not replace any medical or psychotherapeutic diagnosis; instead, it provides you with insights about the particular characteristics of your anxiety. Click the box corresponding to the answer that best describes your feelings for each statement. Base your responses on how you felt last week.

 


1. I feel more nervous and anxious than usual.

never or rarely sometimes often mostly or always


2. I experience anxiety for no particular or apparent reason.

never or rarely sometimes often mostly or always


3. I get agitated easily and feel that I will panic.

never or rarely sometimes often mostly or always


4. I feel like I could fall apart.

never or rarely sometimes often mostly or always


5. I feel like something awful is going to happen.

never or rarely sometimes often mostly or always


6. My arms and legs shiver and shake.

never or rarely sometimes often mostly or always


7. I suffer from head, neck, and back pains.

never or rarely sometimes often mostly or always


8. I feel weak and often get tired quickly.

never or rarely sometimes often mostly or always


9. I feel restless and cannot sit still.

never or rarely sometimes often mostly or always


10. I can feel my heart beating very quickly.

never or rarely sometimes often mostly or always


11. I suffer from episodes of dizziness.

never or rarely sometimes often mostly or always


12. I have episodes of unconsiousness or feel that I will become unconscious.

never or rarely sometimes often mostly or always


13. I cannot breathe in and out easily.

never or rarely sometimes often mostly or always


14. My fingers feel numb and tingly.

never or rarely sometimes often mostly or always


15. I suffer from stomachaches or digestive disturbances/upsets.

never or rarely sometimes often mostly or always


16. I have to urinate more frequently than usual.

never or rarely sometimes often mostly or always


17. My hands are often moist and cool.

never or rarely sometimes often mostly or always


18. My face gets hot quickly, and I blush.

never or rarely sometimes often mostly or always


19. I have difficulties falling asleep and do not awake rested.

never or rarely sometimes often mostly or always


20. I have nightmares.

never or rarely sometimes often mostly or always