JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
How are you feeling today?
Taking into consideration the last two weeks, answer the test according to your emotional responses.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
email
*
Your answer
Please be spontaneous with your responses and do not leave out any questions. Your results shall be kept confidential and shall not be utilized in any forum. Issued by theatre therapy practitioners who are not medical professionals.
1. Do you have trouble controlling your negative thoughts?
*
Never
Rarely
Sometimes
Often
Always
2. Are you prone to engage in repetitive behaviors, (like tapping, shaking your leg) when you are worried?
*
Never
Rarely
Sometimes
Often
Always
3. Do you find it difficult to communicate your emotions when stressed?
*
Never
Rarely
Sometimes
Often
Always
4. Does worry interfere with your sleep schedule?
*
Never
Rarely
Sometimes
Often
Always
5. Does worry or tension cause you to feel fatigued?
*
Never
Rarely
Sometimes
Often
Always
6. Do you encounter persistent thoughts that are upsetting and unwanted?
*
Never
Rarely
Sometimes
Often
Always
7. How frequently do you avoid social settings?
*
Never
Rarely
Sometimes
Often
Always
8. Do you overthink and have contradicting thoughts?
*
Never
Rarely
Sometimes
Often
Always
9. Do you notice any major physical changes when you are worried/anxious?
*
Never
Rarely
Sometimes
Often
Always
10. Do you experience shortness of breath when worried/stressed?
*
Never
Rarely
Sometimes
Often
Always
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Red Curtain International.
Report Abuse
Forms
