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Do You Have Anxiety?

Anxiety is an over exaggerated, unreasonable, and uncomfortable response to threat. The next few pages show some statements that describe how you may have thought, felt or behaved. Please tell us how often you felt this way last week. Also, do fill in your details below, so we can keep in touch.

Your Name

Email Address

Phone

Location

I worried about things

Very Often

Often

Sometimes

Rarely

Never

I anticipated the worst

Very Often

Often

Sometimes

Rarely

Never

I was tense

Very Often

Often

Sometimes

Rarely

Never

I felt confident

Very Often

Often

Sometimes

Rarely

Never

I got startled easily

Very Often

Often

Sometimes

Rarely

Never

I was unable to relax

Very Often

Often

Sometimes

Rarely

Never

I was afraid in general (strangers, being alone, aircrafts, animals, needles, anything)

Very Often

Often

Sometimes

Rarely

Never

I felt in control

Very Often

Often

Sometimes

Rarely

Never

I was fidgety

Very Often

Often

Sometimes

Rarely

Never

My hands trembled

Very Often

Often

Sometimes

Rarely

Never

My sleep was restless

Very Often

Often

Sometimes

Rarely

Never

I felt on top of things

Very Often

Often

Sometimes

Rarely

Never

My mouth got dry without reason

Very Often

Often

Sometimes

Rarely

Never

I anticipated something bad was going to happen

Very Often

Often

Sometimes

Rarely

Never

I had diarrhoea or constipation for no apparent reason

Very Often

Often

Sometimes

Rarely

Never

I could concentrate

Very Often

Often

Sometimes

Rarely

Never

I woke up feeling restless

Very Often

Often

Sometimes

Rarely

Never

I felt like nothing is going to be OK

Very Often

Often

Sometimes

Rarely

Never

I felt like I am not me, I am someone else

Very Often

Often

Sometimes

Rarely

Never

I could not get “going”

Very Often

Often

Sometimes

Rarely

Never

Your result is explained on the next page. This is a basic screening tool and it tells us what you may have perceived at the present moment or in the recent past. This could change with time. We are here to help you think and feel and behave better. You can connect with us to learn more or assess yourself further.

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Do You Have Anxiety?