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Rate My Anxiety
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I feel agitated, tense, or restless more than twice a week
Almost Never
0
1
2
3
4
Always
Clear selection
I'm afraid for no apparent reason
Almost Never
0
1
2
3
4
Always
Clear selection
I worry about bad things that might happen tome or those I care about
Almost Never
0
1
2
3
4
Always
Clear selection
I have difficulty falling asleep, staying asleep or waking up early
Almost Never
0
1
2
3
4
Always
Clear selection
I have difficulty eating too much, too little or digesting my food
Almost Never
0
1
2
3
4
Always
Clear selection
I wish I knew a way to make myself more relaxed
Almost Never
0
1
2
3
4
Always
Clear selection
I have difficulty with my concentration,memory or thinking
Almost Never
0
1
2
3
4
Always
Clear selection
I would say I am anxious much of the time
Almost Never
0
1
2
3
4
Always
Clear selection
From time to time I have experienced a racing heartbeat, cold hands or feet, dry mouth,sweating, tight muscles, difficulty breathing,numbness, frequent urination, or hot/cold flashes
Almost Never
0
1
2
3
4
Always
Clear selection
I wish I could be as relaxed with myself as others seem to be
Almost Never
0
1
2
3
4
Always
Clear selection
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