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ANXIETY
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Do you ever engage in repetitive behaviors to manage your worry? (For example, checking that the oven is off, locking doors, washing hands, counting, repeating words.)
Never
Rarely
Sometimes
Often
Very often
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Do you feel jumpy?
Never
Rarely
Sometimes
Often
Very often
Clear selection
Do you have trouble controlling your worries?
Never
Rarely
Sometimes
Often
Very often
Clear selection
Do you experience repetitive and persistent thoughts that are upsetting and unwanted?
Never
Rarely
Sometimes
Often
Very often
Clear selection
Does worry or anxiety interfere with falling and/or staying asleep?
Never
Rarely
Sometimes
Often
Very often
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Do you worry about things that have already happened in the past?
Never
Rarely
Sometimes
Often
Very often
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Do you worry about lots of different things?
Never
Rarely
Sometimes
Often
Very often
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Does worry or anxiety make it hard to concentrate?
Never
Rarely
Sometimes
Often
Very often
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Do you worry about things working out in the future?
Never
Rarely
Sometimes
Often
Very often
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Do you experience strong fear that causes panic, shortness of breath, chest pains, a pounding heart, sweating, shaking, nausea, dizziness and/or fear of dying?
Never
Rarely
Sometimes
Often
Very often
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Do you ever avoid places or social situations for fear of this panic?
Never
Rarely
Sometimes
Often
Very often
Clear selection
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