Online Anxiety Test
The following information is required to process and return the test results to you. Information is confidential.
Your Name Your Email Address City/State/Country How did you learn of this web site? (Be as specific as possible)
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
0 1 2 3 1. Worry, nervousness, or fear 0 1 2 3 2. Feeling strange, unreal, or foggy 0 1 2 3 3. Feeling detached from your body 0 1 2 3 4. Sudden unexpected panic spells 0 1 2 3 5. Apprehension or sense of impending doom 0 1 2 3 6. Feeling tense or stressed 0 1 2 3 7. Difficulty concentrating 0 1 2 3 8. Racing thoughts 0 1 2 3 9. Frightening fantasies or daydreams 0 1 2 3 10. Fear of losing control 0 1 2 3 11. Fear of going crazy 0 1 2 3 12. Fear of fainting or passing out 0 1 2 3 13. Fear of physical illnesses or dying 0 1 2 3 14. Concerns about looking foolish or inadequate 0 1 2 3 15. Fear of being alone, isolated, or abandoned 0 1 2 3 16. Fear of criticism or disapproval 0 1 2 3 17. Skipping, racing, or pounding of the heart 0 1 2 3 18. Chest pain, pressure, or tightness 0 1 2 3 19. Tingling or numbness in the toes or fingers 0 1 2 3 20. Stomach discomfort 0 1 2 3 21. Constipation or diarrhea 0 1 2 3 22. Restlessness or jumpiness 0 1 2 3 23. Tight, tense muscles 0 1 2 3 24. Sweating not because of heat 0 1 2 3 25. A lump in the throat 0 1 2 3 26. Trembling or shaking 0 1 2 3 27. Rubbery or “jelly” legs 0 1 2 3 28. Dizziness 0 1 2 3 29. Choking or difficulty breathing 0 1 2 3 30. Headaches, neck or back pain 0 1 2 3 31. Hot flashes or cold chills 0 1 2 3 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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