Beck Anxiety Inventory

1

Numbness*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

2

Feeling hot*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

3

Trembling in the legs*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

4

Unable to relax*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

5

Fear of the worst happening*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

6

Dizziness or lightheadedness*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

7

Heart pounding or racing*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

8

Unsteadiness*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

9

Terror or fear*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

10

Nervousness*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

11

Feeling of choking*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

12

Hand trembling*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

13

Fear of losing control*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

14

Difficulty breathing*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

15

Fear of dying*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

16

Panic*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

17

Indigestion*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

18

Fainting*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

19

Face flushed*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

20

Hot or cold sweats*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.

21

Trembling*

0 — Not at all1 — Mildly, but it did not bother me much2 — Moderately; it was unpleasant at times3 — Severely; it bothered me a lot

This question is required.