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Q.1
Over the last three months, have you felt excessively worried for more days than not? *

Q.2
Has the worry you felt often seemed “irrational,” or out of proportion with the situation, but beyond your control to “reason away?” *

Q.3
Have there been times you couldn’t identify what exactly was causing your anxiety? *

Q.4
Have you had trouble falling or staying asleep? *

Q.5
Have you felt more tired than usual, even on days when you got adequate sleep? *

Q.6
Have you had more difficulty concentrating on work or school than usual? *

Q.7
Have you felt “keyed up,” “on edge,” or unusually tense more often than not? *

Q.8
When you’ve felt worried over the past three months, have you experienced tightness in your chest, shortness of breath, a pounding heart, or a feeling of choking? *

Q.9
Over a three-month span, have you experienced persistent muscle tension or muscle aches without any increased or altered physical activity that might explain it? *

Q.10
Over a three-month span, have you experienced persistent nausea, diarrhea, or irritable bowel syndrome without any dietary changes that might explain it? *

Q.11
Have you felt shaky or wobbly, experienced numbness or tingling in your body, or had chills or hot flashes while feeling anxious? *

Q.12
Have you found yourself avoiding situations that you think may cause more anxiety? *

Q.13
Over the last year, has your use of drugs or alcohol negatively impacted your home or work life, yet persisted regardless? *

Q.14
Have you been unusually irritable? *

Q.15
Do you find it difficult to "shut off" or disengage from worry, (even at times when the worry seems initially warranted)? *

Q.16
Do you find it is difficult to soothe or "come down" from the worry/anxiety, even after the thing you are worried about seems resolved? *

Q.17
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