Anxiety Self-Assessment Questionaire
We all feel anxious at times: butterflies before an interview, tension in traffic, panic in the face of danger. Too much anxiety too often, however, can be a problem. See how many of the 20 questions apply to you.
1. Do you tend to worry about things, even when there are no signs of trouble?
2. Does your body often feel so tense that you are unable to relax?
3. Do you avoid certain things or situations such as dogs, traveling in airplanes, closed-in places, heights, escalators, and highway driving because they make you feel afraid?
4. Do your emotions and moods go up and down a lot in response to changes around you?
5. Do you suddenly feel frightened and shake or tremble even when there are no signs of trouble?
6. At times, do things seem unreal or do you feel detached from everything around you?
7. Do you get aches or pains that can’t be traced to physical illness or injury?
8. When other people look at you, do you break out in a sweat and shake uncontrollably?
9. Do you stay home from work or school because you’re afraid of being called on in a meeting or in class?
10. Do you get nausea or have stomach problems that are not caused by illness or a medical condition?
11. Do you worry that you might lose control or do something that will be very embarrassing?
12. Do you have unexpected spells of increased sensitivity to sound, light, or touch?
13. Do you sleep restlessly and/or wake up in the middle of the night and can't get back to sleep?
14. Do you have unexpected waves of depression that occur with little or no real provocation?
15. Do you unexpectedly get hot flashes or cold chills for no apparent reason?
16. Out of the blue, does your heart start rapidly pounding?
17. Do you feel afraid and have difficulty catching your breath?
18. Do you have frequent and sudden attacks of diarrhea?
19. Do you have difficulty falling asleep?
20. Do you have nightmares?
21. Do you get tired easily?
Contact: Hypnosis3@gmail.com Return to Anxieties & Fears
Call 703 346 4606 or email Jane if you have any questions or concerns or if you would like to set up an appointment
Please fill out the questionaire prior to your appointment.