Welcome to your Anxiety Screening
1.
Do you have a lot of anxiety about a lot of different things? (More days than not in the past six months)
2.
Is it really hard, or impossible, to control your worries?
3.
Do you feel restless or agitated?
4.
Do you feel tired or worn out easily?
5.
Is concentrating much harder than it used to be?
6.
Do you feel very irritable? Do daily things annoy or frustrate you much more than they used to?
7.
Do your muscles feel tense? (Are you clenching your jaw? Are you grinding your teeth?)
8.
Are you having sleep problems? (such as trouble falling asleep, trouble staying asleep, waking up in the night and not being able to go back to sleep?)
9.
Has your drinking increased to help you “calm down”?
10.
Have you had a panic attack?
11.
Have you gone to the emergency department thinking it was a heart attack and were told it was just anxiety?
12.
Have you experienced a particularly disturbing event and now you can’t getit out of your mind?
13.
Are you tense and “jumpy”?
14.
Do you “zone out” have difficulty becoming present again?
