Beck Anxiety Inventory (BIA)
Name
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First Name
Last Name
Date
*
/
Month
/
Day
Year
Today's Date
Below is a list of common symptoms of anxiety. Please read each item in the list carefully.
Indicate how much you have been bothered by each symptom during the past month, including today, by checking the corresponding box next to each symptom.
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Rows
Not At All: It didn’t bother me 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
Total Score:
Submit
Should be Empty: