Anxiety Assessment

Name:
Over the past 2 weeks, how often have you been feeling nervous, on edge, or anxious?
Not at all
Some days
Most days
Almost every day
Over the past 2 weeks, how often have you felt unable to control or stop worrying?
Not at all
Some days
Most days
Almost every day
Over the past 2 weeks, how often have you been bothered by worrying too much about different things?
Not at all
Some days
Most days
Almost every day
Over the past 2 weeks, how often have you found relaxing to be difficult?
Not at all
Some days
Most days
Almost every day
Over the past 2 weeks, how often have you been so restless that you couldn't sit still?
Not at all
Some days
Most days
Almost every day
Over the past 2 weeks, how often have you been easily annoyed or irritable?
Not at all
Some days
Most days
Almost every day
Over the past 2 weeks, how often have you felt afraid that something awful might happen?
Not at all
Some days
Most days
Almost every day
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