Anxiety Screening Test
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Name
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1. Pounding heart
*
Not at all
Just a little
Sometimes
Often
Usually
2. Sweating
*
Not at all
Just a little
Sometimes
Often
Usually
3. I avoid situations because of anxiety
*
Not at all
Just a little
Sometimes
Often
Usually
4. Feeling lightheaded or faint
*
Not at all
Just a little
Sometimes
Often
Usually
5. Irritable or difficulty sleeping
*
Not at all
Just a little
Sometimes
Often
Usually
6. Trembling or shaking
*
Not at all
Just a little
Sometimes
Often
Usually
7. Shortness of breath
*
Not at all
Just a little
Sometimes
Often
Usually
8.Afraid or scared
*
Not at all
Just a little
Sometimes
Often
Usually
9. Chest pain or discomfort
*
Not at all
Just a little
Sometimes
Often
Usually
10. Nausea or abdominal distress
*
Not at all
Just a little
Sometimes
Often
Usually
11. Feeling dizzy or unsteady
*
Not at all
Just a little
Sometimes
Often
Usually
12. Fear of losing control or going crazy
*
Not at all
Just a little
Sometimes
Often
Usually
13. Numbness or tingling sensations
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Not at all
Just a little
Sometimes
Often
Usually
14. Chills or hot flashes
*
Not at all
Just a little
Sometimes
Often
Usually
15. Fear of dying
*
Not at all
Just a little
Sometimes
Often
Usually
Calculation
Submit
Should be Empty: