1. Do you often feel upset for no obvious reason? | No = 0 | Yes = 2 | |
2. Have you felt as though you might faint? | Never = 0 | Occasionally = 1 | Frequently = 2 |
3. Do you feel uneasy and restless? | Never = 0 | Occasionally = 1 | Frequently = 2 |
4. Do you sometimes feel really panicky? | No = 0 | Yes = 2 | |
5. Would you say you were a worrying person? | Not at all = 0 | Fairly = 1 | Very = 2 |
6. Do you often feel “strung-up” inside? | No = 0 | Yes = 2 | |
7. Have you ever had the feeling you were “going to pieces”? | No = 0 | Yes = 2 | |
8. Do you have bad dreams which upset you when you wake up? | Never = 0 | Sometimes = 1 | Frequently = 2 |