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WHAT TYPE OF ANXIETY DO YOU HAVE?

How oftern do you meditate?
Never
Serveral times per year
Several times per week
Daily
What is your age?
Under 18
50-59
18-29
60-69
30-39
70 or Over
40-49
Do you find yourself getting upset quite easily?
Never
Occasionally
Sometimes
Always
What is your gender?
Male
Female
Transgender
Other
 
 
 
 
 
 
Do you have trouble relaxing over trivial things?
None of the time
Some of the time
Most of the time
Do you worry about situations in which you might panic and make a fool of yourself?
Never
Sometimes
Occasionally
Always
Have you ever experienced breathing difficulty when anxious?
None of the time
 
Some of the time
All of the time
Do you tend to overreact to situations?
Never
Sometimes
Occasionally
Always
Have you ever felt scared without any good reason?
Often
Never
Sometimes
Always
Do you ever get dryness around your mouth when worries about something?
Never
Sometimes
Often
Always
Have you ever been at a stage where you found yourself close to panic?
Never
Sometimes
Often
Always
Do you have trouble getting to sleep at night?
Always
Sometimes
None of the time
Depends on my thoughts
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