Online Anxiety Test

The following information is required to process and return the test results to you.  Information is confidential.

 
 
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Indicate how often the following symptoms of anxiety have occurred in the last 30 days. Use the following scale and place the appropriate number next to the item.  Submit the form and the results will be sent to you by email as soon as possible.  Please make sure to complete the required information above.  If you or someone you know is suffering with anxiety, please get help from a trained professional before the condition worsens. 

        0  Never
        1  Sometimes
        2  Often
        3  Very Often

1. Worry, nervousness, or fear
2. Feeling strange, unreal, or foggy
3. Feeling detached from your body
4. Sudden unexpected panic spells
5. Apprehension or sense of impending doom
6. Feeling tense or stressed
7. Difficulty concentrating
8. Racing thoughts
9. Frightening fantasies or daydreams
10. Fear of losing control
11. Fear of going crazy
12. Fear of fainting or passing out
13. Fear of physical illnesses or dying
14. Concerns about looking foolish or inadequate
15. Fear of being alone, isolated, or abandoned
16. Fear of criticism or disapproval
17. Skipping, racing, or pounding of the heart
18. Chest pain, pressure, or tightness
19. Tingling or numbness in the toes or fingers
20. Stomach discomfort
21. Constipation or diarrhea
22. Restlessness or jumpiness
23. Tight, tense muscles
24. Sweating not because of heat
25. A lump in the throat
26. Trembling or shaking
27. Rubbery or “jelly” legs
28. Dizziness
29. Choking or difficulty breathing
30. Headaches, neck or back pain
31. Hot flashes or cold chills 
32. Feeling tired, weak, or easily exhausted  

Symptoms compiled in accordance with the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, (DSM-IV).

Information provided on this test is not meant to be used for diagnosis or as a substitute for professional treatment.
if you are in immediate need please contact a local counselor, crisis center, or 911.

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