Anxiety Test Anxiety Test First Name* Last Name* Email Address* Phone Number* City Terms and Conditions* Before You BeginThe following questions serve as a preliminary assessment to ascertain if you need medical attention. These will take only a few minutes. Please answer as honestly as possible.Feeling nervous, anxious or on edgeOver the last 2 weeks, how often have you been bothered by any of the above problems? Not at all Several Days More than half the days Nearly every day Not being able to stop or control worryingOver the last 2 weeks, how often have you been bothered by any of the above problems? Not at all Several Days More than half the days Nearly every day Worrying too much about different thingsOver the last 2 weeks, how often have you been bothered by any of the above problems? Not at all Several Days More than half the days Nearly every day Trouble relaxingOver the last 2 weeks, how often have you been bothered by any of the above problems? Not at all Several Days More than half the days Nearly every day Being so restless that it is hard to sit stillOver the last 2 weeks, how often have you been bothered by any of the above problems? Not at all Several Days More than half the days Nearly every day Becoming easily annoyed or irritatedOver the last 2 weeks, how often have you been bothered by any of the above problems? Not at all Several Days More than half the days Nearly every day Feeling afraid as if something awful might happenOver the last 2 weeks, how often have you been bothered by any of the above problems? Not at all Several Days More than half the days Nearly every day If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?Over the last 2 weeks, how often have you been bothered by any of the above problems? Not difficult at all Somewhat difficult Very difficult Extremely difficult When did the symptoms begin? Time is Up! Time's up
