Questionnaire for Anxiety Clinical Trial
Acid foods upset
Yes
No
Get chilled often
Yes
No
Lump in throat
Yes
No
Dry mouth/eyes/nose
Yes
No
Keyed up, fail to calm
Yes
No
Strong light irritates
Yes
No
Heart pounds after retiring
Yes
No
Nervous stomach
Yes
No
Cold sweats often
Yes
No
Staring/blinks little
Yes
No
Submit
Should be Empty: