Beck Anxiety Inventory
Name
First Name
Last Name
Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you have been bothered by that symptom during the past month, including today, by selecting the appropriate corresponding space in the column next to each symptom.
*
Not At All
Mildly- It didn't bother me much
Moderately- It wasn't pleasant at times
Severely- It bothered me a lot
Numbness or tingling
Feeling Hot
Wobbliness in Legs
Unable to Relax
Fear of Worst Happening
Dizzy or Lightheaded
Heart Pounding/Racing
Unsteady
Terrified or Afraid
Nervous
Feeling of Choking
Hands Trembling
Shaky/Unsteady
Fear of Losing Control
Difficulty in Breathing
Fear of Dying
Scared
Indigestion
Faint/Lightheaded
Face Flushed
Hot/Cold Sweats
Scoring
Interpretation
0-21
Low Anxiety
22-35
Moderate Anxiety
36-63
Severe Anxiety
Submit
Should be Empty: