| I
get lightheaded, faint or have dizzy spells. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
|
I have a sensation of rubbery or "jelly" legs. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I
feel off balance or unsteady as if I'm going to fall. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I overbreathe
or I have difficulty getting my breath. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| My heart
skips beat or races. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I have a
sense of pressure or pain in my chest. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I feel a
choking or smothering sensation or lump in my throat.
|
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| There is
numbness or tingling in parts of my body. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I get hot
flashes or cold chills. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I have stomach
problems or nausea. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I get diarrhea.
|
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I have pains
in my neck or headaches. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I get tired,
weak or exhausted easily. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I get spells
of increased sensitivity to sound, to light or to touch.
|
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I sweat
excessively. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| My surroundings
seem strange, unreal, foggy or detached - I feel spacey.
|
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I feel
as though I were detached from my body, or from parts of my
body or as if I were floating. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I worry
a lot about my health. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I feel
as though I am loosing control, I think - am I going crazy?
|
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I am afraid
I am dying or some terrible thing is about to happen.
|
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I tremble
a lot or feel shakey. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I get depressed
in waves of feeling and there is no real reason for these
feelings. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| My moods
and emotions go up and down and I overreact to things that
happen. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I feel
dependent on other people. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I repeat
things over and over again, like rituals -- things like checking,
washing, counting, thoughts like 'if only'... |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| Recurrent
words or thought persistently intrude on my mind and are hard
to get rid of . . . unwanted thoughts of agression, impulses,
sexuality. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I have trouble
falling asleep. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| My sleep
is restless, I wake up a lot. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| Some ordinary
situations are frightening and I avoid them. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I can't relax,
I'm tense. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I'm anxious,
nervous, restless. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I may have
spells with feelings like some of those above, but only a
couple of symptoms. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I have sudden
unexpected panic spells that occur with little or no reason
(that is, I have anxiety attacks with three or more symptoms).
|
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I think about
doing something and my anxiety builds up and builds up intensively. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| When I am
in a situation that frightens me, I get surges of panic. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| My mouth
is drier than when I felt well. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I'm worried
and preoccupied. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I am nervous,
jittery, anxious, and restless. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I am afraid
and fearful. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I feel tense,
'uptight'. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I feel shakey
inside or tremorous outside. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| My stomach
feels like butterflies. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I feel warm
all over, I get hot flashes. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| My palms
sweat a lot. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| My heartbeat
feels heavy or rapid. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| My hands
or legs tremble. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I have spells
- surges of symptoms. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I get panicked
sometimes. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I worry about
my health. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I have some
small phobias. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I am afraid
of social situations. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I have fears
which are paralyzing. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
| I get depressed
too much. |
Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !! |
